Negotiated reimbursement rates for D7979 across 7 states, sourced from CMS Transparency in Coverage data. 128 rate records.
D7979 is the code for an unspecified surgical procedure, which is billed by report. This code is used when a surgical procedure does not have a specific CDT code assigned to it. Clinical indications for using this code include unique or complex cases that require surgical intervention but do not fit neatly into existing categories. Documentation must be thorough, including a detailed narrative of the procedure, rationale for the surgery, and any relevant clinical findings. Reimbursement for D7979 can vary significantly by payer and state, as some may have specific guidelines for what constitutes an acceptable report. The average reimbursement for this code is around $150.
Reimbursement rates for D7979 vary significantly by state, payor, and provider network. The national average negotiated rate is $150. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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