Negotiated reimbursement rates for D5761 across 47 states, sourced from CMS Transparency in Coverage data. 612 rate records.
D5761 refers to the procedure of relining a lower partial denture in a dental laboratory setting. This procedure is clinically indicated when the existing denture has become loose or uncomfortable due to changes in the patient’s oral tissues or jawbone. Proper documentation is essential, including pre- and post-operative photographs, patient complaints, and clinical notes that justify the need for the reline. Billing for this procedure may vary significantly depending on the payor and state, with some insurance plans covering a percentage of the cost while others may consider it a non-covered service. The average reimbursement for this procedure is around $265, but dental billing professionals should check with individual payors for specific coverage details and limitations on frequency of relines within a given timeframe.
Reimbursement rates for D5761 vary significantly by state, payor, and provider network. The national average negotiated rate is $265. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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