Negotiated reimbursement rates for D6065 across 49 states, sourced from CMS Transparency in Coverage data. 721 rate records.
D6065 refers to the procedure for placing a porcelain or ceramic implant crown. This crown is designed to mimic the appearance of natural teeth, making it a popular choice for aesthetic restorations. Clinical indications include patients who have undergone successful implant placement and are seeking a cosmetic solution that blends seamlessly with their existing dentition. Documentation for billing should include details about the implant procedure, the materials used for the crown, and any relevant patient history. Reimbursement for D6065 can vary significantly by payor, with some insurance plans providing comprehensive coverage for ceramic crowns while others may impose limitations. Understanding the nuances of each payor's policy is essential for maximizing reimbursement and minimizing patient costs.
Reimbursement rates for D6065 vary significantly by state, payor, and provider network. The national average negotiated rate is $978. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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