Negotiated reimbursement rates for D7296 across 41 states, sourced from CMS Transparency in Coverage data. 1269 rate records.
D7296 is a corticotomy procedure involving one to three tooth spaces, which is performed to facilitate orthodontic movement by altering the bone structure. Clinical indications include cases where rapid tooth movement is desired, such as in adult orthodontics. Documentation should include the specific teeth involved, the surgical technique, and the anticipated treatment outcomes. Reimbursement for D7296 can vary significantly among payors, with some recognizing the procedure as medically necessary while others may not, leading to discrepancies in coverage and reimbursement based on state regulations.
Reimbursement rates for D7296 vary significantly by state, payor, and provider network. The national average negotiated rate is $152. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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