Negotiated reimbursement rates for D8080 across 33 states, sourced from CMS Transparency in Coverage data. 662 rate records.
D8080 is designated for Comprehensive Orthodontic treatment in adolescent dentition, aimed at patients in the early stages of permanent dentition who require extensive orthodontic care. This procedure is indicated for adolescents with significant malocclusions or alignment issues that warrant a full course of orthodontic treatment. When billing for D8080, it is critical to provide comprehensive documentation, including a treatment plan, clinical notes justifying the need for comprehensive intervention, and any relevant diagnostic imaging. Reimbursement for this code can vary widely among payors and states, with some insurance plans offering substantial coverage while others may limit benefits. The average reimbursement for D8080 is approximately $5, but it is important to verify specific coverage details with each insurance provider.
Reimbursement rates for D8080 vary significantly by state, payor, and provider network. The national average negotiated rate is $5. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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