Negotiated reimbursement rates for D8090 across 34 states, sourced from CMS Transparency in Coverage data. 725 rate records.
D8090 refers to Comprehensive Orthodontic treatment for adult dentition, which encompasses a full range of orthodontic services aimed at correcting malocclusions and improving dental aesthetics in adults. Clinical indications for this procedure include severe crowding, spacing issues, and bite discrepancies that require extensive orthodontic intervention. Documentation for billing should include detailed clinical notes, treatment plans, and progress records, as well as any diagnostic imaging used. Reimbursement for D8090 can vary significantly by payor and state, with some insurance plans covering a portion of the treatment while others may have exclusions or limitations based on age or specific orthodontic criteria. Average reimbursement is around $5, but this can fluctuate based on the provider's contract with the insurance company and the geographical location of the practice.
Reimbursement rates for D8090 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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