Negotiated reimbursement rates for D7284 across 30 states, sourced from CMS Transparency in Coverage data. 397 rate records.
D7284 refers to an excisional biopsy of bone, which is performed to remove a section of bone for diagnostic purposes. This procedure is indicated when there are suspicious lesions or abnormalities that require histological examination. Comprehensive documentation is crucial, including the clinical rationale, imaging results, and pathology reports. Reimbursement for this procedure can vary by payor and state, with an average reimbursement of approximately $373. Some insurers may have specific guidelines regarding the necessity of the biopsy, so it is important to confirm coverage prior to the procedure.
Reimbursement rates for D7284 vary significantly by state, payor, and provider network. The national average negotiated rate is $373. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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