Negotiated reimbursement rates for D6999 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D6999 refers to an unspecified fixed prosthodontic procedure, which encompasses a range of services related to fixed dental restorations. This code is often used when a specific procedure does not have a designated CDT code. Clinical indications for using D6999 may include situations where a dentist performs a complex restoration that does not fit neatly into existing categories. Documentation for this procedure should include detailed notes on the clinical rationale for the treatment, the materials used, and any relevant patient history. Billing notes should emphasize the necessity of the procedure and any unique circumstances that justify its use. Reimbursement for D6999 can vary significantly by payor and state, with some insurance plans requiring prior authorization or additional documentation to process the claim. Average reimbursement is around $718, but this can fluctuate based on the specifics of the case and the contractual agreements with insurance providers.
Reimbursement rates for D6999 vary significantly by state, payor, and provider network. The national average negotiated rate is $718. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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