Negotiated reimbursement rates for D6104 across 47 states, sourced from CMS Transparency in Coverage data. 557 rate records.
D6104 refers to the procedure of bone grafting for implant repair at each additional site. This procedure is typically indicated when there is insufficient bone volume to support an implant, often due to resorption or previous extractions. Documentation should include pre-operative imaging, surgical notes detailing the grafting technique used, and post-operative assessments. Billing for this procedure can vary significantly by payor and state, with some insurance plans covering a portion of the costs while others may consider it a cosmetic procedure. On average, reimbursement for D6104 is around $220, but dental billing professionals should verify coverage specifics with individual payors to ensure proper reimbursement.
Reimbursement rates for D6104 vary significantly by state, payor, and provider network. The national average negotiated rate is $220. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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