Negotiated reimbursement rates for D5953 across 2 states, sourced from CMS Transparency in Coverage data. 9 rate records.
D5953 is the CDT code for a Speech Aid Prosthesis for adults, which serves to enhance speech clarity and function in adults facing similar challenges as children. Clinical indications typically involve patients with speech disorders resulting from structural abnormalities or neurological conditions. Proper documentation is critical and should include the patient's medical history, speech evaluations, and the rationale for the prosthesis. Reimbursement for D5953 can be inconsistent, with some payors providing coverage while others may classify it as a non-essential procedure. The average reimbursement for this code is notably low, around $2, highlighting the importance of verifying coverage and obtaining pre-authorization when necessary.
Reimbursement rates for D5953 vary significantly by state, payor, and provider network. The national average negotiated rate is $2. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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