Negotiated reimbursement rates for D7840 across 5 states, sourced from CMS Transparency in Coverage data. 93 rate records.
D7840 is the code for condylectomy, a surgical procedure involving the removal of the condyle of the mandible. This procedure is indicated for patients with severe joint disorders or tumors affecting the condyle. Documentation must include a thorough clinical evaluation, imaging studies, and a detailed surgical report. Reimbursement for condylectomy can vary significantly by payor and state, with some insurance plans fully covering the procedure while others may impose restrictions or require additional documentation to justify the need for surgery.
Reimbursement rates for D7840 vary significantly by state, payor, and provider network. The national average negotiated rate is $2. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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