Negotiated reimbursement rates for D6040 across 49 states, sourced from CMS Transparency in Coverage data. 764 rate records.
D6040 refers to the surgical placement of an eposteal implant, which is a type of dental implant that is placed directly into the jawbone. This procedure is indicated for patients who have lost teeth and require a stable foundation for prosthetic restoration. Documentation for this procedure should include pre-operative assessments, imaging studies, and detailed surgical notes. Billing professionals should be aware that reimbursement for this code can vary significantly by payor and state, with some insurance plans covering a portion of the cost while others may not cover it at all. It's essential to verify benefits and obtain pre-authorization when necessary to ensure proper reimbursement.
Reimbursement rates for D6040 vary significantly by state, payor, and provider network. The national average negotiated rate is $3. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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