Bridge Retainer — Onlay, Cast Base Metal (3+ Surf) (D6613) — National Rates

About D6613 — Bridge Retainer — Onlay, Cast Base Metal (3+ Surf)

D6613 refers to a bridge retainer that is an onlay made from cast base metal, typically used when a tooth requires significant restoration but still has enough structure to support a bridge. Clinical indications for this procedure include extensive decay or damage to a tooth that cannot be restored with a filling. Documentation for billing should include detailed clinical notes, radiographs, and a treatment plan justifying the need for an onlay. Reimbursement for D6613 can vary significantly by payor and state, with average reimbursements around $653. Some insurance plans may have specific criteria for coverage, and it is essential to verify benefits before proceeding with treatment to ensure proper reimbursement.

Reimbursement rates for D6613 vary significantly by state, payor, and provider network. The national average negotiated rate is $653. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.