Negotiated reimbursement rates for D6103 across 45 states, sourced from CMS Transparency in Coverage data. 536 rate records.
D6103 refers to the bone graft for implant repair at the first site, typically performed when an existing implant requires augmentation due to bone loss or failure. Clinical indications include the need for additional support for the implant or to enhance the surrounding bone structure. Proper documentation is crucial and should detail the reason for the graft, the type of graft material used, and any relevant imaging studies. Reimbursement for this procedure can vary widely among payors, with some covering the costs fully while others may have limitations. Additionally, reimbursement rates can differ by state, influenced by local practices and regulations. The average reimbursement for D6103 is around $196, but dental billing professionals should verify coverage specifics with each payor.
Reimbursement rates for D6103 vary significantly by state, payor, and provider network. The national average negotiated rate is $196. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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