Negotiated reimbursement rates for D9215 across 24 states, sourced from CMS Transparency in Coverage data. 142 rate records.
D9215 is the code for Local Anesthesia administered in conjunction with a dental procedure. This is typically used to numb the area around a tooth or gums during procedures such as fillings, crowns, or extractions. Clinical indications include any situation where localized pain control is required. Documentation should include the type of anesthetic used, the site of administration, and the procedure performed. Reimbursement for D9215 averages around $29, but it varies by payor and state, with some plans requiring detailed documentation to support the necessity of anesthesia in conjunction with the procedure.
Reimbursement rates for D9215 vary significantly by state, payor, and provider network. The national average negotiated rate is $29. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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