Negotiated reimbursement rates for D6012 across 45 states, sourced from CMS Transparency in Coverage data. 539 rate records.
D6012 is used for the surgical placement of an interim implant body, often utilized in situations where a permanent implant cannot be placed immediately. This procedure is indicated in cases requiring immediate restoration or when a temporary solution is needed. Comprehensive documentation is essential, including the rationale for using an interim implant and the treatment timeline. Reimbursement for D6012 can be higher than for standard implants due to the complexity and urgency of the situation, but varies significantly by payor and state, with some insurers providing more favorable terms for interim solutions.
Reimbursement rates for D6012 vary significantly by state, payor, and provider network. The national average negotiated rate is $369. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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