Negotiated reimbursement rates for D7412 across 12 states, sourced from CMS Transparency in Coverage data. 139 rate records.
D7412 is designated for the excision of a complicated benign lesion, which may involve more intricate surgical techniques or additional considerations such as the lesion's location or the patient's health status. Clinical indications for this procedure include lesions that are deeply rooted or those that may require more extensive surgical intervention. Proper documentation is essential, including detailed notes on the surgical technique used, any complications encountered, and post-operative care instructions. Reimbursement for D7412 varies by payor and state, with an average reimbursement of around $380. Dental billing professionals should verify coverage specifics, as some insurance plans may have different criteria for what constitutes a 'complicated' excision.
Reimbursement rates for D7412 vary significantly by state, payor, and provider network. The national average negotiated rate is $380. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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