Negotiated reimbursement rates for D7540 across 20 states, sourced from CMS Transparency in Coverage data. 217 rate records.
D7540 is the code for the removal of a reaction-producing foreign body from musculoskeletal tissue. This procedure is indicated when a foreign object causes an inflammatory reaction that necessitates surgical intervention. Documentation should include details of the foreign body, the site of removal, and any associated complications. Average reimbursement for D7540 is around $305, but this can vary significantly based on the payor and state regulations. Some insurance plans may require additional documentation or pre-authorization for coverage, so it is important to check the specific requirements to ensure proper reimbursement.
Reimbursement rates for D7540 vary significantly by state, payor, and provider network. The national average negotiated rate is $305. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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