Negotiated reimbursement rates for D5999 across 2 states, sourced from CMS Transparency in Coverage data. 9 rate records.
D5999 refers to an unspecified maxillofacial prosthetic procedure, which encompasses a range of treatments aimed at restoring facial structures lost due to trauma, disease, or congenital defects. Clinical indications for this code may include the need for prosthetic rehabilitation in patients with significant maxillofacial defects. Documentation should include detailed clinical notes, photographs, and treatment plans to justify the procedure. Reimbursement for D5999 can vary widely by payor and state, as some insurance plans may not cover unspecified procedures, while others may provide partial reimbursement based on the complexity of the case.
Reimbursement rates for D5999 vary significantly by state, payor, and provider network. The national average negotiated rate is $7. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
-1+ more states available with Pro ↓