Negotiated reimbursement rates for D5929 across 1 states, sourced from CMS Transparency in Coverage data. 14 rate records.
D5929 refers to the Facial Prosthesis (Replacement), which is designed to restore the appearance and function of facial structures that have been lost due to trauma, surgery, or congenital conditions. Clinical indications for this procedure include significant facial deformities that impact aesthetics and function. Documentation for billing should include a thorough patient history, the rationale for the replacement, and any previous prosthetic devices. The average reimbursement for D5929 is approximately $60, but this can vary by payor and state. Some insurance companies may consider this procedure cosmetic and may not provide coverage, while others may offer partial reimbursement. It is crucial for dental billing professionals to verify coverage details with each payor to ensure successful claims submission.
Reimbursement rates for D5929 vary significantly by state, payor, and provider network. The national average negotiated rate is $60. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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