Negotiated reimbursement rates for D7760 across 6 states, sourced from CMS Transparency in Coverage data. 103 rate records.
D7760 represents a closed reduction of the malar or zygomatic bone without interdental fixation. This procedure is indicated for less severe fractures that can be managed without surgical intervention. Proper documentation should include clinical findings, imaging results, and a description of the closed reduction technique used. Reimbursement for D7760 varies widely among payors, with some plans offering higher reimbursement rates for closed procedures compared to open ones, while others may limit coverage based on medical necessity criteria and regional guidelines.
Reimbursement rates for D7760 vary significantly by state, payor, and provider network. The national average negotiated rate is $790. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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