Negotiated reimbursement rates for D7875 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D7875 is the surgical procedure of arthroscopy for synovectomy, which involves the removal of the synovial membrane in the TMJ. This procedure is typically indicated for patients with inflammatory conditions affecting the joint, such as rheumatoid arthritis or chronic synovitis. Proper documentation must include clinical findings, imaging results, and a detailed account of conservative treatments that have been attempted. Reimbursement for this procedure can vary widely by payor and state, with some insurance companies requiring extensive documentation to support the medical necessity of the surgery.
Reimbursement rates for D7875 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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