Negotiated reimbursement rates for D7971 across 46 states, sourced from CMS Transparency in Coverage data. 413 rate records.
Excision of Pericoronal Gingiva is a surgical procedure that involves the removal of gingival tissue surrounding a partially erupted tooth, often indicated for patients experiencing pericoronitis or other complications. This procedure is typically performed on wisdom teeth or other molars that are not fully erupted. Documentation for billing should include a clear clinical rationale, details of the patient's symptoms, and any previous treatments. The average reimbursement for this procedure is around $142, but it can vary significantly by payor and state. Some insurance plans may have specific requirements for coverage, including evidence of infection or pain, while others may impose limitations based on the patient's age or dental history.
Reimbursement rates for D7971 vary significantly by state, payor, and provider network. The national average negotiated rate is $142. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
43+ more states available with Pro ↓