Negotiated reimbursement rates for D7509 across 48 states, sourced from CMS Transparency in Coverage data. 672 rate records.
D7509 refers to the marsupialization of a cyst, a procedure that creates a surgical opening in a cyst to allow for drainage and promote healing. This procedure is indicated for large or symptomatic cysts that require intervention to prevent further complications. Documentation should include the size and type of cyst, imaging results, and the surgical technique used. When billing for this procedure, it is important to note any additional treatments performed concurrently. Average reimbursement for D7509 is around $354, but this can vary significantly between payors and states, with some plans offering better coverage for surgical interventions than others.
Reimbursement rates for D7509 vary significantly by state, payor, and provider network. The national average negotiated rate is $354. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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