Negotiated reimbursement rates for D8220 across 31 states, sourced from CMS Transparency in Coverage data. 225 rate records.
D8220 is the code for Fixed Appliance Therapy, which involves the use of fixed orthodontic appliances, such as braces, to address more complex dental alignment issues. Clinical indications for this procedure typically include severe malocclusions, significant crowding, or other complex orthodontic cases that require long-term treatment. Documentation for billing should include detailed treatment plans, progress notes, and any necessary diagnostic records. Reimbursement for D8220 can vary significantly based on the payor and state regulations, with average reimbursement around $780. Factors influencing reimbursement include the specific insurance policy, the complexity of the case, and the geographical location of the dental practice.
Reimbursement rates for D8220 vary significantly by state, payor, and provider network. The national average negotiated rate is $780. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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