Negotiated reimbursement rates for D7441 across 8 states, sourced from CMS Transparency in Coverage data. 100 rate records.
D7441 is the code designated for the excision of a malignant tumor with a lesion size greater than 1.25 cm. This procedure is more complex due to the larger size of the tumor, which may require more extensive surgical techniques and careful management of surrounding tissues. Clinical indications for D7441 include the presence of larger malignant tumors that pose a significant risk of metastasis if not adequately excised. Thorough documentation is essential for successful billing, including details about the lesion's size, location, surgical approach, and any complications that may arise during the procedure. Reimbursement for D7441 averages around $627, but it varies widely depending on the payor and state. Some insurance plans may impose additional requirements for coverage, which can affect the reimbursement process. It is advisable for dental billing professionals to check the patient's insurance benefits and obtain pre-authorization when necessary to ensure appropriate payment.
Reimbursement rates for D7441 vary significantly by state, payor, and provider network. The national average negotiated rate is $627. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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