Negotiated reimbursement rates for D6121 across 47 states, sourced from CMS Transparency in Coverage data. 686 rate records.
D6121 refers to an implant-supported retainer for a fixed partial denture (FPD) made from noble metal. This procedure is indicated for patients who have lost one or more teeth and require a stable and durable restoration. The retainer is anchored to dental implants, providing superior support compared to traditional methods. Documentation for billing should include clinical notes detailing the necessity of the implant-supported retainer, including the patient's dental history and treatment plan. Reimbursement for this code can vary significantly by payor and state, with average reimbursements around $844. Some insurance plans may cover a portion of the cost, while others may classify it as a non-covered service depending on the patient's specific policy. It's crucial to verify coverage details with each payor before proceeding with treatment.
Reimbursement rates for D6121 vary significantly by state, payor, and provider network. The national average negotiated rate is $844. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
44+ more states available with Pro ↓