Negotiated reimbursement rates for D7295 across 10 states, sourced from CMS Transparency in Coverage data. 63 rate records.
D7295 refers to the harvest of bone for grafting purposes, often used in conjunction with other surgical procedures to enhance bone volume or density. Clinical indications include preparing sites for implants or augmenting areas with insufficient bone. Documentation must include the rationale for bone harvesting, the technique used, and any relevant imaging studies. Reimbursement for D7295 varies by payor, with some insurers offering coverage for bone grafting procedures while others may impose limitations based on the patient's specific treatment plan and the state in which the procedure is performed.
Reimbursement rates for D7295 vary significantly by state, payor, and provider network. The national average negotiated rate is $269. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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