Negotiated reimbursement rates for D7550 across 16 states, sourced from CMS Transparency in Coverage data. 196 rate records.
D7550 refers to Partial Ostectomy or Sequestrectomy, a surgical procedure involving the removal of a portion of bone or a sequestrum (a piece of dead bone) from the jaw. This procedure is indicated in cases of osteomyelitis, chronic infection, or when a sequestrum is present due to trauma or dental disease. Proper documentation is crucial, including pre-operative imaging and a detailed surgical report outlining the rationale for the procedure. Reimbursement for D7550 can vary significantly by payor and state, with average reimbursements around $291. Some insurance plans may require prior authorization, and it's essential to verify coverage specifics to ensure proper billing and reimbursement. Additionally, the complexity of the case and the provider's experience may influence reimbursement rates, so dental billing professionals should be aware of these factors when submitting claims.
Reimbursement rates for D7550 vary significantly by state, payor, and provider network. The national average negotiated rate is $291. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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