Negotiated reimbursement rates for D7640 across 8 states, sourced from CMS Transparency in Coverage data. 121 rate records.
D7640 refers to the closed reduction of a fractured mandible where the teeth are immobilized. This procedure is typically indicated for patients with mandibular fractures that do not require surgical intervention. Clinical documentation should include details of the fracture type, the method of immobilization used, and any pre- or post-operative imaging. Billing for this procedure may vary significantly by payor and state, with some insurance plans covering the procedure under trauma care while others may classify it differently, affecting reimbursement rates. It is essential to verify coverage specifics with the patient's insurance provider prior to treatment.
Reimbursement rates for D7640 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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