Negotiated reimbursement rates for D5945 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.
D5945 refers to the replacement of an obturator prosthesis, which is a dental device used to close a gap in the upper jaw caused by surgery or congenital defects. Clinical indications for this procedure typically include patients who have undergone maxillectomy or have congenital conditions that necessitate the use of an obturator. When billing for this procedure, it is essential to document the patient's medical history, the reason for the obturator replacement, and any previous prosthetic devices used. Reimbursement for D5945 can vary significantly by payor and state, with some insurance plans covering the procedure more comprehensively than others, often depending on the patient's specific needs and the medical necessity of the replacement prosthesis.
Reimbursement rates for D5945 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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