Negotiated reimbursement rates for D5866 across 42 states, sourced from CMS Transparency in Coverage data. 537 rate records.
D5866 pertains to a partial overdenture that is supported by implants. This procedure is suitable for patients who have lost multiple teeth but still have some remaining teeth that can provide support. Proper clinical documentation should include the patient's dental history, the condition of the remaining teeth, and any imaging that demonstrates the need for this type of prosthesis. Reimbursement for this procedure can vary by payor and state, with some insurance plans offering limited coverage for implant-supported devices. It's important to obtain pre-authorization when possible to ensure coverage.
Reimbursement rates for D5866 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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