Negotiated reimbursement rates for D7955 across 20 states, sourced from CMS Transparency in Coverage data. 138 rate records.
Repair of maxillofacial soft/hard tissue defect involves reconstructive surgery to restore the integrity of facial structures affected by trauma, disease, or congenital defects. Clinical indications include significant tissue loss that impacts function or aesthetics. Documentation must detail the extent of the defect, the surgical approach taken, and any materials used for reconstruction. Reimbursement for this procedure can vary widely among payors, with some providing comprehensive coverage for reconstructive surgeries while others may have strict criteria for approval, leading to potential denials or reduced payments.
Reimbursement rates for D7955 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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