Negotiated reimbursement rates for D7240 across 48 states, sourced from CMS Transparency in Coverage data. 1087 rate records.
D7240 is the code for the extraction of a completely bony impacted tooth. This procedure is necessary when a tooth is fully encased in bone and cannot erupt properly, often leading to pain or infection. Documentation should include detailed radiographic evidence and clinical notes justifying the extraction. Reimbursement for D7240 averages $358, but this can vary widely depending on the patient's insurance plan and state regulations. Some payors may have specific criteria for approving this procedure, so it is essential to verify coverage and obtain necessary authorizations before proceeding.
Reimbursement rates for D7240 vary significantly by state, payor, and provider network. The national average negotiated rate is $358. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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