Negotiated reimbursement rates for D7521 across 13 states, sourced from CMS Transparency in Coverage data. 86 rate records.
D7521 is the code for incision and drainage of complicated extraoral soft tissue. This procedure is indicated when there are significant complications such as extensive infection or abscess formation that requires more extensive surgical intervention. Documentation must detail the complexity of the case, including any prior treatments attempted and the specific nature of the complication. The average reimbursement for D7521 is around $409, but this can vary widely depending on the insurance provider and state laws. It is important to ensure that all necessary documentation is submitted to support the complexity of the procedure, as this can impact reimbursement rates.
Reimbursement rates for D7521 vary significantly by state, payor, and provider network. The national average negotiated rate is $409. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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