Negotiated reimbursement rates for D6101 across 43 states, sourced from CMS Transparency in Coverage data. 579 rate records.
D6101 refers to the surgical debridement of a peri-implant defect, a procedure aimed at cleaning and managing infections around dental implants. Clinical indications for this procedure include the presence of peri-implantitis or other complications that compromise the health of the implant site. Documentation should include the extent of the defect, the surgical approach taken, and any adjunctive therapies used. Reimbursement for this procedure can vary significantly depending on the insurance provider and the specific state regulations. Some payors may have specific criteria for coverage, while others may deny claims based on the nature of the procedure. The average reimbursement for D6101 is around $216, but dental billing professionals should check with individual payors for precise coverage details.
Reimbursement rates for D6101 vary significantly by state, payor, and provider network. The national average negotiated rate is $216. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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