Negotiated reimbursement rates for D7410 across 31 states, sourced from CMS Transparency in Coverage data. 421 rate records.
D7410 refers to the excision of a benign lesion that measures 1.25 cm or less. This procedure is typically indicated when a dentist identifies a lesion that is non-cancerous but may cause discomfort, functional issues, or aesthetic concerns for the patient. Proper documentation is crucial, including a detailed clinical note describing the lesion's characteristics, location, and the reason for excision. Billing for this procedure may vary by payor and state, with some insurance plans covering the procedure fully while others may require a copayment or have limits on the number of excisions covered per year. The average reimbursement for this procedure is around $366, but this can fluctuate based on the specific insurance contract and regional reimbursement rates.
Reimbursement rates for D7410 vary significantly by state, payor, and provider network. The national average negotiated rate is $366. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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