Negotiated reimbursement rates for D7252 across 47 states, sourced from CMS Transparency in Coverage data. 500 rate records.
D7252 refers to the surgical removal of an impacted tooth that is covered by soft tissue. This procedure is typically indicated when a tooth, often a wisdom tooth, is unable to properly erupt due to being partially or fully encased in gum tissue. Clinical documentation should include pre-operative radiographs, a detailed surgical report, and post-operative instructions. Billing for this procedure may vary significantly by payor and state, with average reimbursements around $170. Some insurance plans may have specific criteria for coverage, including the necessity of the procedure and the patient's overall dental health status.
Reimbursement rates for D7252 vary significantly by state, payor, and provider network. The national average negotiated rate is $170. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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