Negotiated reimbursement rates for D5936 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D5936 designates an Interim Obturator, which is a temporary prosthetic device used to close an oronasal defect, often following surgical procedures such as tumor removal. Clinical indications include patients recovering from surgery who need a functional solution while awaiting a more permanent prosthesis. Proper documentation for this procedure should include the patient's medical history, surgical notes, and a description of the defect being treated. Reimbursement for interim obturators is typically lower than for permanent solutions, averaging around $1, and can vary significantly by payor and state regulations. Some payors may have specific guidelines for interim devices, affecting coverage and reimbursement rates.
Reimbursement rates for D5936 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.
-2+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| New York | $1,748 |
| State | Avg Rate |
|---|---|
| New York | $1,748 |