Negotiated reimbursement rates for D7472 across 48 states, sourced from CMS Transparency in Coverage data. 670 rate records.
The CDT code D7472 refers to the removal of a torus palatinus, which is a benign bony growth located on the hard palate. This procedure is typically indicated when the torus causes discomfort, interferes with prosthetic devices, or presents a risk for ulceration. Proper documentation should include clinical observations, imaging studies, and the patient's history. Average reimbursement for this procedure is around $584, but it is important to note that reimbursement rates can vary significantly based on the insurance provider and state regulations. Some payors may have specific criteria for coverage, so verifying the guidelines before billing is essential.
Reimbursement rates for D7472 vary significantly by state, payor, and provider network. The national average negotiated rate is $584. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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