Negotiated reimbursement rates for D8695 across 10 states, sourced from CMS Transparency in Coverage data. 30 rate records.
D8695 is the code for the removal of fixed orthodontic appliances, a procedure that typically occurs at the end of active orthodontic treatment. This involves the careful removal of brackets, wires, and other components of the orthodontic system. Clinical indications for this procedure include the completion of the planned orthodontic treatment and the need for post-treatment evaluation. Documentation should include details of the removal process, any immediate post-removal instructions given to the patient, and the condition of the teeth and gums post-treatment. Reimbursement for D8695 averages around $127, but this can vary by payor and state, with some insurance plans covering it under orthodontic benefits while others may not.
Reimbursement rates for D8695 vary significantly by state, payor, and provider network. The national average negotiated rate is $127. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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