Negotiated reimbursement rates for D6253 across 46 states, sourced from CMS Transparency in Coverage data. 1246 rate records.
D6253 refers to a Provisional Bridge Pontic, which is a temporary solution used while a permanent bridge is being fabricated. This procedure is indicated for patients who require immediate restoration of function and aesthetics after tooth extraction or prior to the placement of a definitive prosthesis. Documentation should include the rationale for provisionalization, treatment notes, and any relevant radiographs. Average reimbursement for this code is around $228, but it can vary widely based on the payor and state. Some insurance plans may have specific guidelines for provisional restorations, affecting the reimbursement process. It is advisable to confirm coverage details with the payor prior to treatment.
Reimbursement rates for D6253 vary significantly by state, payor, and provider network. The national average negotiated rate is $228. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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