Negotiated reimbursement rates for D6096 across 43 states, sourced from CMS Transparency in Coverage data. 327 rate records.
D6096 involves the removal of a broken implant retaining screw. This procedure is clinically indicated when a retaining screw has fractured, making it impossible to remove the abutment or prosthesis without intervention. Documentation should include details about the broken screw, any attempts made to remove it, and the patient's overall treatment plan. Reimbursement for this procedure can differ by payor and state, with an average reimbursement of around $170. Some insurance plans may have specific criteria for covering this service, while others may consider it part of the overall implant procedure. Dental billing professionals should be aware of these variations to ensure proper claims submission and reimbursement.
Reimbursement rates for D6096 vary significantly by state, payor, and provider network. The national average negotiated rate is $170. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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