Negotiated reimbursement rates for D5952 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D5952 denotes a Speech Aid Prosthesis for pediatric patients, aimed at improving speech function in children with speech impairments due to anatomical or functional issues. Clinical indications include conditions such as cleft palate or other developmental disorders affecting speech. Documentation for this procedure should include the child's diagnosis, treatment plan, and any assessments of speech function. Billing for D5952 may vary by payor, with some insurance providers offering coverage while others may not, particularly for pediatric cases. The average reimbursement for this procedure is around $570, but it is essential for dental billing professionals to check with specific payors for any unique requirements or limitations regarding coverage.
Reimbursement rates for D5952 vary significantly by state, payor, and provider network. The national average negotiated rate is $570. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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