Negotiated reimbursement rates for D7939 across 28 states, sourced from CMS Transparency in Coverage data. 205 rate records.
D7939 is designated for unspecified surgical procedures that require a report to justify the service provided. This code is often used when a specific procedure does not have a designated CDT code but is still necessary for patient care. Clinical indications can vary widely, and documentation must be thorough, detailing the rationale for the procedure, the techniques used, and any relevant patient history. Reimbursement for D7939 is highly variable, as it depends on the specifics of the case and the policies of the payor, with some requiring extensive justification for approval.
Reimbursement rates for D7939 vary significantly by state, payor, and provider network. The national average negotiated rate is $274. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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