Negotiated reimbursement rates for D7220 across 46 states, sourced from CMS Transparency in Coverage data. 1012 rate records.
D7220 is the CDT code for the extraction of a soft tissue impacted tooth. This procedure is indicated when a tooth is covered by soft tissue and requires surgical intervention for removal. Clinical indications may include teeth that are partially erupted and causing pain or infection. Documentation for D7220 should include the clinical findings, the surgical approach taken, and any complications that arose during the procedure. Billing notes should emphasize the necessity of the surgical extraction and any relevant patient history. Reimbursement for D7220 averages around $212, but can vary significantly based on the payor's policies and state regulations. Some insurance plans may have specific requirements for documentation or prior authorization, impacting the reimbursement process.
Reimbursement rates for D7220 vary significantly by state, payor, and provider network. The national average negotiated rate is $212. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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