Negotiated reimbursement rates for D5765 across 44 states, sourced from CMS Transparency in Coverage data. 672 rate records.
D5765 describes the application of a soft liner for either complete or partial dentures. This procedure is indicated for patients who experience discomfort or irritation from traditional denture materials, as the soft liner provides cushioning and improves fit. Documentation should include the patient’s complaints, clinical findings, and the rationale for using a soft liner instead of a hard reline. Reimbursement for this procedure can vary widely among payors and states, with some plans offering full coverage while others may impose limitations or require prior authorization. The average reimbursement for D5765 is approximately $272, but dental billing professionals should verify specific plan details to ensure proper billing and maximize reimbursement.
Reimbursement rates for D5765 vary significantly by state, payor, and provider network. The national average negotiated rate is $272. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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