Negotiated reimbursement rates for D6122 across 49 states, sourced from CMS Transparency in Coverage data. 796 rate records.
D6122 is used for an implant-supported retainer for a fixed partial denture (FPD) constructed from base metal. This procedure is clinically indicated for patients needing a reliable restoration for missing teeth, utilizing implants for enhanced stability. When billing for this code, documentation should include comprehensive clinical notes, radiographs, and a treatment plan that justifies the use of an implant-supported retainer. Average reimbursement for D6122 is approximately $767, but this can vary widely based on the patient's insurance plan and geographic location. Some payors may have specific guidelines regarding the materials used, which can affect coverage. It is essential to check with individual payors to understand their reimbursement policies and any potential patient out-of-pocket costs.
Reimbursement rates for D6122 vary significantly by state, payor, and provider network. The national average negotiated rate is $767. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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