Negotiated reimbursement rates for D5899 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.
D5899 is a code for unspecified removable prosthodontic procedures. This code is utilized when a specific procedure does not have a designated CDT code but still falls under the category of removable prosthodontics. Clinical indications can vary widely, and documentation should include a comprehensive description of the procedure performed, the rationale behind it, and any relevant patient history. Because this code is unspecified, reimbursement can be unpredictable and varies significantly by payor and state regulations. The average reimbursement for this procedure is approximately $571, but it may require additional justification to ensure coverage from insurance providers.
Reimbursement rates for D5899 vary significantly by state, payor, and provider network. The national average negotiated rate is $571. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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