Negotiated reimbursement rates for D7250 across 46 states, sourced from CMS Transparency in Coverage data. 857 rate records.
D7250 pertains to the removal of residual roots after a tooth extraction. This procedure is indicated when fragments of the tooth root remain in the alveolar bone, which can lead to infection or impede healing. Proper documentation should include radiographs showing the presence of residual roots and notes on the patient's condition. Average reimbursement for D7250 is about $162, but this can differ based on the insurance plan and state guidelines. Some payors may have specific criteria for coverage, so it is important to check the patient's benefits before billing.
Reimbursement rates for D7250 vary significantly by state, payor, and provider network. The national average negotiated rate is $162. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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