Negotiated reimbursement rates for D5930 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.
D5930 refers to a surgical obturator, which is a prosthetic device used to close a defect in the hard palate or maxilla, often following surgical resection due to cancer or trauma. Clinical indications for this procedure include patients with palatal defects that impair speech, swallowing, or aesthetics. Documentation should include the patient's medical history, the reason for the obturator, and any surgical notes related to the resection. Reimbursement for D5930 can vary significantly by payor and state, with some insurance plans covering the procedure fully while others may only provide partial reimbursement or require prior authorization.
Reimbursement rates for D5930 vary significantly by state, payor, and provider network. The national average negotiated rate is $3. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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