Negotiated reimbursement rates for D6091 across 46 states, sourced from CMS Transparency in Coverage data. 1064 rate records.
D6091 pertains to the replacement of an abutment in an implant repair scenario. This procedure is indicated when an abutment has become damaged or compromised, necessitating its replacement to maintain the integrity of the implant-supported prosthesis. Proper documentation should include the reason for the abutment replacement, clinical notes, and any imaging that supports the need for this procedure. Reimbursement for D6091 varies by payor and state, with an average reimbursement of around $356. Dental billing professionals should be aware that some insurance plans may have specific criteria for coverage, and it is advisable to verify these details before submitting claims.
Reimbursement rates for D6091 vary significantly by state, payor, and provider network. The national average negotiated rate is $356. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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