Negotiated reimbursement rates for D6111 across 48 states, sourced from CMS Transparency in Coverage data. 724 rate records.
D6111 refers to an implant bridge retainer made of porcelain fused to a base metal. This procedure is indicated when a patient requires a fixed prosthesis supported by dental implants, particularly in cases where aesthetics and durability are essential. Documentation should include clinical notes detailing the patient's oral health status, the rationale for choosing this material, and any relevant imaging or diagnostic information. Billing for this procedure can vary significantly by payor and state, as some may have specific guidelines for coverage of implant-supported restorations, while others may not cover them at all. Average reimbursement for this code is around $1, but it is crucial to verify individual payor policies for accurate billing and to ensure proper coding to avoid denials.
Reimbursement rates for D6111 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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