Negotiated reimbursement rates for D7872 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D7872 is the code for diagnostic arthroscopy of the temporomandibular joint (TMJ) without surgical intervention. This procedure is used to visually assess the joint and diagnose underlying issues contributing to TMJ disorders. It is indicated when non-invasive diagnostic methods are inconclusive. Documentation for billing should include the patient's symptoms, prior treatments, and the findings from the arthroscopy. Reimbursement for D7872 is generally low, with an average of about $1, reflecting its diagnostic nature. Variability in reimbursement exists among payors, with some offering minimal coverage, while others may bundle this procedure with other services. Dental billing professionals should be diligent in understanding the nuances of each payor's policies to ensure proper claims processing.
Reimbursement rates for D7872 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.
-2+ more states available with Pro ↓