Negotiated reimbursement rates for D5865 across 46 states, sourced from CMS Transparency in Coverage data. 742 rate records.
D5865 describes a complete overdenture that is entirely supported by implants. This procedure is indicated for patients who have lost all of their natural teeth and require a stable, functional prosthesis. Documentation should include a comprehensive treatment plan, details of the implant placement, and any relevant diagnostic imaging. Reimbursement for this procedure can differ widely among payors and states, with some plans offering better coverage for implant-supported prosthetics than others. It is advisable to check with the specific insurance provider to understand the coverage limits and reimbursement rates.
Reimbursement rates for D5865 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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