Facial Bones — Complicated Reduction (D7680) — National Rates

About D7680 — Facial Bones — Complicated Reduction

D7680 refers to the complicated reduction of facial bones, a procedure typically indicated for fractures that require surgical intervention to restore proper alignment and function. Clinical indications for this procedure include significant displacement of facial bone fractures, which may affect aesthetics and occlusion. Documentation for billing should include detailed notes on the nature of the fracture, the surgical approach taken, and any complications encountered during the procedure. Reimbursement for D7680 can vary significantly by payor and state, with some insurance plans covering the procedure more comprehensively than others. It is essential to verify coverage and obtain pre-authorization when necessary, as reimbursement rates can also fluctuate based on the complexity of the case and the provider's contractual agreements with payors.

Reimbursement rates for D7680 vary significantly by state, payor, and provider network. The national average negotiated rate is $5. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.