Negotiated reimbursement rates for D7947 across 7 states, sourced from CMS Transparency in Coverage data. 37 rate records.
D7947 refers to the LeFort I maxillary osteotomy procedure, which involves repositioning the maxilla to correct dental and facial deformities. Clinical indications for this procedure include severe malocclusion, facial asymmetry, and obstructive sleep apnea. Documentation for billing should include pre-operative assessments, surgical notes, and post-operative care details. Reimbursement for D7947 can vary significantly by payor and state, with some insurance plans covering the procedure as medically necessary, while others may classify it as cosmetic, affecting patient out-of-pocket costs. Average reimbursement for this procedure is around $4, but this can fluctuate based on the complexity of the case and the specific insurance policy involved.
Reimbursement rates for D7947 vary significantly by state, payor, and provider network. The national average negotiated rate is $4. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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