Negotiated reimbursement rates for D5926 across 1 states, sourced from CMS Transparency in Coverage data. 14 rate records.
D5926 is the CDT code for Nasal Prosthesis (Replacement), which involves the fabrication and fitting of a prosthetic device to replace or restore the nasal structure. This procedure is indicated for patients who have experienced nasal deformities due to trauma, surgery, or congenital conditions. Proper documentation is crucial, including clinical notes that outline the need for replacement and any previous prosthetic devices used. Reimbursement for D5926 is generally low, averaging around $1, and varies widely by insurance payor and state regulations. Some payors may not cover this procedure at all, so it is essential for dental billing professionals to check individual insurance policies to determine eligibility and reimbursement potential.
Reimbursement rates for D5926 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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