Negotiated reimbursement rates for D5941 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.
D5941 is the CDT code for an adjustment to an interim obturator. This procedure is typically performed to modify an existing obturator that is used temporarily while the patient awaits a definitive prosthesis. Clinical indications include discomfort, poor fit, or changes in the patient's anatomy. Proper documentation should include the reason for the adjustment, any measurements taken, and the outcome of the adjustment. Reimbursement for D5941 is generally low, averaging around $3, and may vary by payor, with some plans offering limited coverage for adjustments to interim devices.
Reimbursement rates for D5941 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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