Trismus Appliance — Without Expansion (D5939) — National Rates

Negotiated reimbursement rates for D5939 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.

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National Average Negotiated Rate
$3,724
4 rate records · 1 states
📊 Data updated monthly · Last refresh: March 2026

About D5939 — Trismus Appliance — Without Expansion

The D5939 code is for a Trismus Appliance without expansion capability, aimed at patients with limited jaw movement due to various medical conditions. This appliance helps maintain oral function and hygiene by providing a stable oral environment. Clinical indications include post-operative patients or those with conditions that restrict jaw movement. Proper documentation should include a comprehensive clinical evaluation, treatment plan, and notes on the patient's condition. Average reimbursement for this appliance is around $3, but it can vary by payor and state, with some insurance plans offering limited coverage or requiring prior authorization. Understanding the specific requirements of each payor is essential for successful billing.

Reimbursement rates for D5939 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.

Top Paying States for D5939

New York
$4,935
2 records

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Full National Breakdown

Median
$4,935
Low
$90
High
$4,935

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$4,935

↓ Bottom 5

StateAvg Rate
New York$4,935

All States — D5939 Average Rates

New York
$4,935
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$4,935$4,935$4,935$4,9352
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