Negotiated reimbursement rates for D5877 across 48 states, sourced from CMS Transparency in Coverage data. 535 rate records.
D5877 is used for the replacement of a locator male attachment, which is essential for securing a removable prosthesis to dental implants. Clinical indications for this procedure include wear or loss of the locator male, which can compromise the stability of the prosthesis. Documentation should include a description of the condition of the existing attachment and the rationale for replacement. Billing for this procedure often requires a report to justify the need for replacement, as some payors may have specific criteria for coverage. Reimbursement can vary significantly by payor and state, with an average reimbursement of approximately $476. Some insurers may require pre-authorization or additional documentation to process the claim.
Reimbursement rates for D5877 vary significantly by state, payor, and provider network. The national average negotiated rate is $476. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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