Negotiated reimbursement rates for D7962 across 49 states, sourced from CMS Transparency in Coverage data. 655 rate records.
Lingual Frenectomy involves the surgical removal of the lingual frenulum, the tissue connecting the underside of the tongue to the floor of the mouth. This procedure is typically indicated for patients with tongue-tie (ankyloglossia), which can impact speech, feeding, and oral hygiene. Proper documentation is crucial for billing, including a thorough clinical assessment, patient history, and any preoperative evaluations. Average reimbursement for this procedure is approximately $297, but it can vary by insurance payor and state regulations. Some payors may require evidence of functional impairment or a referral from a specialist, while others may have different criteria for coverage. Understanding the specific requirements of each payor is essential for successful billing.
Reimbursement rates for D7962 vary significantly by state, payor, and provider network. The national average negotiated rate is $297. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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