Negotiated reimbursement rates for D5949 across 2 states, sourced from CMS Transparency in Coverage data. 9 rate records.
D5949 is the code for a radiation shield or guard, which is used to protect surrounding tissues during radiation therapy. This device is essential in minimizing exposure to healthy tissues while treating oral cancers. Clinical indications include patients receiving radiation therapy who require additional protection. When billing for this procedure, thorough documentation is crucial, including the patient's treatment plan and the specific need for the shield. Reimbursement for D5949 can vary significantly by payor and state, with some insurance companies offering comprehensive coverage for medically necessary protective devices, while others may have more restrictive policies that affect reimbursement rates.
Reimbursement rates for D5949 vary significantly by state, payor, and provider network. The national average negotiated rate is $4. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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