Negotiated reimbursement rates for D5878 across 49 states, sourced from CMS Transparency in Coverage data. 579 rate records.
D5878 involves adding a wrought wire clasp to a tooth-supported prosthesis. This procedure is indicated when additional retention is needed for a partial denture, particularly in cases where existing clasps are insufficient. Clinical documentation should detail the specific reasons for the addition of the clasp, including any patient-specific factors that necessitate this enhancement. Billing for this procedure may vary by payor, as some insurers may have specific guidelines regarding the use of wrought wire clasps. The average reimbursement for this procedure is around $461, but this can differ based on the patient's insurance plan and the state in which the services are provided.
Reimbursement rates for D5878 vary significantly by state, payor, and provider network. The national average negotiated rate is $461. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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