Negotiated reimbursement rates for D7473 across 47 states, sourced from CMS Transparency in Coverage data. 767 rate records.
The CDT code D7473 refers to the removal of torus mandibularis, a bony growth located on the mandible. This procedure is typically indicated when the torus causes discomfort, interferes with oral function, or complicates prosthetic treatment. Documentation for this procedure should include clinical findings, imaging studies if applicable, and a detailed treatment plan. Billing notes should specify the reason for the removal and any associated procedures performed. Reimbursement for this procedure can vary significantly by payor and state, with average reimbursements around $535. Some insurance plans may have specific criteria for coverage, while others may consider it a non-essential procedure, leading to potential out-of-pocket costs for the patient.
Reimbursement rates for D7473 vary significantly by state, payor, and provider network. The national average negotiated rate is $535. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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