Negotiated reimbursement rates for D7471 across 48 states, sourced from CMS Transparency in Coverage data. 748 rate records.
D7471 is the code for the removal of lateral exostosis, which are bony growths that can occur on the jaw. This procedure is indicated when the exostosis causes discomfort, interferes with oral function, or poses a risk for further complications. Documentation should include clinical findings, imaging, and a rationale for the removal. The average reimbursement for this procedure is approximately $498, but as with other codes, reimbursement can vary by payor and state. Some insurance plans may have specific requirements for documentation or may require prior authorization, making it essential to understand the individual payor's policies.
Reimbursement rates for D7471 vary significantly by state, payor, and provider network. The national average negotiated rate is $498. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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