Primary Closure of Sinus Perforation (D7261) — National Rates

About D7261 — Primary Closure of Sinus Perforation

D7261 represents the primary closure of a sinus perforation, which may occur during dental procedures involving the upper jaw. This procedure is indicated when a perforation into the maxillary sinus needs to be closed to prevent complications such as infection or sinusitis. Proper documentation should include imaging studies, surgical notes, and post-operative care plans. Average reimbursement for this procedure is around $561, but it is subject to variation based on the payor's policies and the specific state laws governing dental procedures.

Reimbursement rates for D7261 vary significantly by state, payor, and provider network. The national average negotiated rate is $561. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.