Negotiated reimbursement rates for D5862 across 46 states, sourced from CMS Transparency in Coverage data. 501 rate records.
D5862 refers to Precision Attachment — By Report, which involves the use of precision attachments to enhance the retention and stability of removable prostheses. This procedure is clinically indicated for patients requiring a more secure fit for their dentures or partials, often in conjunction with implants or other restorative work. Documentation must include a detailed report justifying the use of precision attachments, including clinical findings and treatment rationale. Reimbursement for this procedure averages around $330, but it varies widely by payor and state, with some plans requiring prior authorization or specific documentation to process claims.
Reimbursement rates for D5862 vary significantly by state, payor, and provider network. The national average negotiated rate is $330. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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