Negotiated reimbursement rates for D6199 across 2 states, sourced from CMS Transparency in Coverage data. 18 rate records.
D6199 is used for unspecified implant procedures that require reporting. This code is applicable when a dental professional performs an implant-related service that does not fall under a specific CDT code. Clinical indications can vary widely, and documentation must be thorough, including details of the procedure, rationale, and any relevant clinical findings. Since this is a non-specific code, reimbursement can be unpredictable and varies greatly by payor and state, with some insurers requiring extensive justification for payment. The average reimbursement for this code is approximately $516.
Reimbursement rates for D6199 vary significantly by state, payor, and provider network. The national average negotiated rate is $516. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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