Negotiated reimbursement rates for D6792 across 50 states, sourced from CMS Transparency in Coverage data. 908 rate records.
D6792 is the CDT code for a bridge retainer made of full cast noble metal. This procedure is similar to D6791 but utilizes noble metals, which are more biocompatible and aesthetically pleasing. Clinical indications include patients requiring a fixed bridge to restore function and aesthetics after tooth loss. Proper documentation should include clinical notes, radiographs, and a justification for the choice of noble metal. The average reimbursement for D6792 is approximately $692, but this can vary widely based on the patient's insurance plan and state regulations. Some plans may offer better coverage for noble metals due to their durability and aesthetic qualities, while others may have restrictions. It is crucial for dental billing professionals to confirm coverage details with the payor to ensure accurate billing.
Reimbursement rates for D6792 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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