Negotiated reimbursement rates for D9212 across 33 states, sourced from CMS Transparency in Coverage data. 231 rate records.
D9212 refers to Trigeminal Division Block Anesthesia, a procedure used to provide anesthesia to a specific division of the trigeminal nerve, typically for dental surgeries involving the maxilla or mandible. Clinical indications include procedures such as extractions, implant placements, or other surgical interventions where localized pain control is necessary. When billing for this procedure, documentation must include the specific nerve targeted, the technique used, and the patient's response to anesthesia. Reimbursement for D9212 can vary significantly by payor and state, with average reimbursements around $72, but some insurance plans may have specific guidelines or limitations on coverage, necessitating pre-authorization in certain cases.
Reimbursement rates for D9212 vary significantly by state, payor, and provider network. The national average negotiated rate is $72. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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