Negotiated reimbursement rates for D6011 across 48 states, sourced from CMS Transparency in Coverage data. 665 rate records.
D6011 pertains to the second stage of implant surgery, typically performed after osseointegration of the implant. This stage involves uncovering the implant and placing healing abutments. Clinical indications include successful integration of the implant and readiness for restoration. Documentation should include surgical notes and any necessary imaging. Reimbursement for D6011 is generally lower than the initial placement due to its less complex nature, and it varies by payor and state, with some plans offering limited coverage based on the overall treatment plan.
Reimbursement rates for D6011 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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