Negotiated reimbursement rates for D7911 across 7 states, sourced from CMS Transparency in Coverage data. 135 rate records.
D7911 refers to complicated suturing of a wound measuring up to 5 cm. This code is used when the suturing involves more intricate techniques due to factors such as the wound's location, depth, or the presence of underlying structures. Clinical indications include wounds that require specialized closure techniques to ensure proper healing. Documentation must detail the complexity of the wound, the method of suturing employed, and any relevant patient history. The average reimbursement for D7911 is around $174, with variations depending on the payor and state. Some insurance companies may categorize this procedure under surgical benefits, while others may have specific guidelines that affect reimbursement.
Reimbursement rates for D7911 vary significantly by state, payor, and provider network. The national average negotiated rate is $174. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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