Negotiated reimbursement rates for D7280 across 46 states, sourced from CMS Transparency in Coverage data. 714 rate records.
The CDT code D7280 refers to the surgical exposure of an impacted tooth for orthodontic purposes. This procedure is typically indicated when a tooth is not able to erupt properly due to obstruction or malposition, which can hinder orthodontic treatment. Documentation should include clinical findings, radiographic evidence, and a treatment plan outlining the necessity of the procedure. Billing for this service may vary significantly by payor and state, with some insurers covering the procedure fully while others may require prior authorization or have specific limitations. The average reimbursement for this procedure is approximately $378.
Reimbursement rates for D7280 vary significantly by state, payor, and provider network. The national average negotiated rate is $378. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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