Negotiated reimbursement rates for D7945 across 6 states, sourced from CMS Transparency in Coverage data. 22 rate records.
The D7945 code pertains to an osteotomy of the body of the mandible, a surgical procedure aimed at correcting skeletal deformities or addressing issues related to jaw alignment. Clinical indications for this procedure include significant malocclusion, trauma, or congenital deformities. Comprehensive documentation is crucial, including preoperative imaging, surgical reports, and postoperative evaluations. Reimbursement for this procedure can vary significantly depending on the patient's insurance plan and state regulations, with average reimbursements around $5. Some payors may require detailed justification for the procedure, while others may have specific coverage criteria, necessitating thorough verification of benefits prior to treatment.
Reimbursement rates for D7945 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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