Negotiated reimbursement rates for D5932 across 4 states, sourced from CMS Transparency in Coverage data. 27 rate records.
D5932 describes a definitive obturator, which is a permanent prosthetic solution for patients with palatal defects. This type of obturator is custom-fabricated to restore function and aesthetics after surgical intervention. Clinical indications include long-term management of palatal defects. Proper documentation must include detailed notes on the patient's condition, the fabrication process, and any adjustments made. Reimbursement for D5932 tends to be more favorable compared to temporary solutions, but it can still vary widely among payors and states, with some requiring extensive documentation to justify the need for a definitive obturator.
Reimbursement rates for D5932 vary significantly by state, payor, and provider network. The national average negotiated rate is $5. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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