Negotiated reimbursement rates for D5821 across 47 states, sourced from CMS Transparency in Coverage data. 493 rate records.
D5821 refers to an Interim Partial Lower Denture, which is a removable dental prosthesis designed to replace missing teeth in the lower arch temporarily. This procedure is clinically indicated for patients who require tooth replacement while awaiting a more permanent solution, such as a fixed partial denture or implants. Proper documentation for billing should include the patient's treatment plan, the reason for the interim denture, and any relevant clinical notes. Reimbursement for this procedure can vary significantly by payor and state, with an average reimbursement around $393. Some insurance plans may have specific limitations or waiting periods, so it is essential to verify coverage before proceeding with treatment.
Reimbursement rates for D5821 vary significantly by state, payor, and provider network. The national average negotiated rate is $393. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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