Negotiated reimbursement rates for D7630 across 5 states, sourced from CMS Transparency in Coverage data. 109 rate records.
D7630 refers to Open Reduction of the Mandible with Teeth Immobilized. This surgical procedure is indicated for fractures of the mandible that require surgical intervention to properly align the bone fragments. Documentation should include imaging studies that confirm the fracture and a detailed surgical report outlining the procedure performed. Reimbursement for D7630 is typically low, averaging around $1, and varies significantly by payor and state. Insurance coverage for this procedure may depend on the specific circumstances of the fracture and the medical necessity as determined by the provider. Therefore, dental billing professionals should be diligent in confirming coverage details and obtaining any necessary pre-authorizations to facilitate reimbursement.
Reimbursement rates for D7630 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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