Negotiated reimbursement rates for D6722 across 49 states, sourced from CMS Transparency in Coverage data. 607 rate records.
D6722 is the code for a bridge retainer made from resin with noble metal. This procedure is indicated for patients who need a balance of aesthetics and strength in their fixed partial dentures. Clinical documentation should include the patient's treatment plan, the condition of the adjacent teeth, and any diagnostic imaging that supports the need for this type of retainer. When billing for D6722, it is important to include thorough clinical notes to justify the choice of noble metal, as reimbursement can vary by payor and state. The average reimbursement for this procedure is approximately $692, but some insurance providers may have specific requirements or limitations on coverage, making it essential to check each payor's policy prior to treatment.
Reimbursement rates for D6722 vary significantly by state, payor, and provider network. The national average negotiated rate is $692. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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