Negotiated reimbursement rates for D7881 across 29 states, sourced from CMS Transparency in Coverage data. 227 rate records.
The CDT code D7881 refers to the adjustment of an occlusal orthotic device, which is used to manage occlusal discrepancies and temporomandibular joint disorders (TMD). Clinical indications for this procedure include discomfort or dysfunction related to occlusion, bruxism, or jaw pain. Proper documentation should include the patient's symptoms, the specific adjustments made to the device, and any follow-up care instructions. Reimbursement for this procedure can vary significantly by payor and state, with an average reimbursement of $68. Some insurance plans may cover the adjustment as part of a broader treatment plan, while others may require separate prior authorization or may not cover it at all, emphasizing the importance of verifying benefits before treatment.
Reimbursement rates for D7881 vary significantly by state, payor, and provider network. The national average negotiated rate is $68. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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