Negotiated reimbursement rates for D6059 across 46 states, sourced from CMS Transparency in Coverage data. 756 rate records.
D6059 refers to a custom implant abutment billed by report, which means that the provider must submit additional documentation to justify the use of this code. This procedure is indicated when a standard abutment does not meet the clinical needs of the patient, requiring a more tailored approach. Documentation must include detailed descriptions of the clinical rationale, design specifications, and any supporting materials from the laboratory. Average reimbursement for D6059 is around $992, but this can vary significantly by payor and state, as some may require extensive justification for coverage. It is crucial to understand the specific requirements of each insurance provider before submitting claims.
Reimbursement rates for D6059 vary significantly by state, payor, and provider network. The national average negotiated rate is $992. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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