Negotiated reimbursement rates for D7485 across 48 states, sourced from CMS Transparency in Coverage data. 739 rate records.
D7485 is the CDT code for the reduction of osseous tuberosity, which is a surgical procedure aimed at reshaping or reducing the bony prominence on the maxillary tuberosity. Clinical indications for this procedure often include the need for improved prosthetic fit or to alleviate discomfort during mastication. Proper documentation should include pre-operative assessments, imaging, and a rationale for the procedure. Billing for this code should reflect any additional services provided during the same visit. Reimbursement rates can vary widely among payors and states, with an average reimbursement of approximately $511, but some plans may classify this as a non-covered service depending on the clinical necessity.
Reimbursement rates for D7485 vary significantly by state, payor, and provider network. The national average negotiated rate is $511. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
45+ more states available with Pro ↓