Negotiated reimbursement rates for D6049 across 7 states, sourced from CMS Transparency in Coverage data. 55 rate records.
D6049 is used for removable implant prosthesis, billed by report. This code applies to prosthetic devices that are supported by dental implants but can be removed by the patient. Clinical indications for this procedure include patients requiring a removable solution for missing teeth that provides stability and function. Documentation should include a comprehensive treatment plan, clinical notes, and any relevant imaging. Reimbursement for this code varies widely among payors, with some plans requiring detailed justification for the procedure. It's crucial to check with individual payors for specific coverage policies and reimbursement rates.
Reimbursement rates for D6049 vary significantly by state, payor, and provider network. The national average negotiated rate is $162. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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