Negotiated reimbursement rates for D7230 across 47 states, sourced from CMS Transparency in Coverage data. 1088 rate records.
D7230 refers to the extraction of a partially bony impacted tooth, typically a wisdom tooth. This procedure is indicated when a tooth is partially erupted and is causing pain, infection, or other dental issues. Proper documentation must include radiographs showing the position of the tooth and any relevant clinical notes regarding the patient's symptoms. Billing for this procedure can vary significantly by payor and state, with average reimbursements around $259. Some insurance plans may require pre-authorization or specific documentation to approve the extraction, especially if it is deemed medically necessary due to complications.
Reimbursement rates for D7230 vary significantly by state, payor, and provider network. The national average negotiated rate is $259. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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