Negotiated reimbursement rates for D7852 across 2 states, sourced from CMS Transparency in Coverage data. 6 rate records.
Disc repair is a dental procedure aimed at correcting issues related to the temporomandibular joint (TMJ) disc. This procedure is clinically indicated for patients experiencing pain, dysfunction, or limited jaw movement due to disc displacement or degeneration. Proper documentation is essential, including pre-operative imaging and a detailed treatment plan, to justify the need for the procedure. Billing for D7852 may vary by payor and state, with some insurance plans covering it under TMJ treatment while others may classify it differently. Average reimbursement for this procedure is around $5, but it can fluctuate based on the patient's insurance policy and local regulations.
Reimbursement rates for D7852 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.
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