Negotiated reimbursement rates for D7972 across 49 states, sourced from CMS Transparency in Coverage data. 522 rate records.
The CDT code D7972 refers to the surgical reduction of a fibrous tuberosity, which is a bony growth that can occur in the maxillary tuberosity area. This procedure is indicated when the tuberosity is causing discomfort, interfering with denture fitting, or obstructing other dental procedures. Proper documentation should include clinical findings, radiographic evidence, and a detailed description of the surgical technique used. Billing for this procedure may vary by payer and state, with some insurance plans requiring prior authorization. The average reimbursement for this procedure is approximately $359, but it can differ based on the patient's insurance policy and geographical location.
Reimbursement rates for D7972 vary significantly by state, payor, and provider network. The national average negotiated rate is $359. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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