Negotiated reimbursement rates for D7997 across 11 states, sourced from CMS Transparency in Coverage data. 55 rate records.
D7997 involves the removal of an appliance, which may include orthodontic devices or other dental appliances. The clinical indications for this procedure typically include the completion of treatment, appliance failure, or patient discomfort. Proper documentation should include the reason for removal, the type of appliance, and any relevant treatment history. Reimbursement for D7997 varies by payor, with some plans covering the procedure under orthodontic benefits while others may not, particularly if the appliance was not initially covered. It's crucial to check the patient's insurance policy for specific guidelines and to submit any necessary pre-authorization requests.
Reimbursement rates for D7997 vary significantly by state, payor, and provider network. The national average negotiated rate is $193. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
8+ more states available with Pro ↓