Negotiated reimbursement rates for D7111 across 38 states, sourced from CMS Transparency in Coverage data. 413 rate records.
D7111 is the CDT code for the extraction of coronal remnants of a primary tooth. This procedure is indicated when a primary tooth has been partially erupted or is retained with significant decay, necessitating the removal of the remaining coronal structure. Documentation for this procedure should include the reason for extraction, clinical findings, and any radiographic evidence supporting the need for the procedure. Billing professionals should ensure that the documentation clearly reflects the nature of the tooth and the condition leading to the extraction. Reimbursement for D7111 typically averages around $92, but rates can vary based on the patient's insurance plan and state regulations. Some payors may have specific guidelines regarding the extraction of primary teeth, which can affect the approval and reimbursement process.
Reimbursement rates for D7111 vary significantly by state, payor, and provider network. The national average negotiated rate is $92. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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