Negotiated reimbursement rates for D7251 across 48 states, sourced from CMS Transparency in Coverage data. 606 rate records.
D7251 refers to a coronectomy, which is the intentional partial removal of a tooth while leaving the roots intact. This procedure is typically performed on teeth that are at risk of damaging adjacent structures if fully extracted. Clinical indications include high-risk cases where complete extraction could lead to complications. Documentation must include radiographic evidence and a detailed explanation of the rationale for choosing coronectomy over extraction. Reimbursement for D7251 averages around $320, but can vary by payor and state, with some insurers requiring prior authorization or specific documentation to support the procedure.
Reimbursement rates for D7251 vary significantly by state, payor, and provider network. The national average negotiated rate is $320. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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