Negotiated reimbursement rates for D9130 across 4 states, sourced from CMS Transparency in Coverage data. 11 rate records.
D9130 addresses non-invasive treatment for temporomandibular joint dysfunction (TMD). This procedure is indicated for patients experiencing symptoms such as jaw pain, clicking, or limited movement, and may involve various therapeutic modalities like splints or physical therapy. Documentation should include a thorough assessment of the patient's symptoms, treatment plan, and any follow-up evaluations. Reimbursement for D9130 can differ by payor, with some plans offering comprehensive coverage for TMD treatments while others may limit reimbursement based on specific criteria. The average reimbursement for this procedure is around $117.
Reimbursement rates for D9130 vary significantly by state, payor, and provider network. The national average negotiated rate is $117. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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