Negotiated reimbursement rates for D9612 across 40 states, sourced from CMS Transparency in Coverage data. 288 rate records.
D9612 refers to the administration of therapeutic parenteral drugs for two or more administrations. This procedure is often necessary for ongoing treatment of chronic conditions or for managing pain over an extended period. Clinical indications include situations where multiple doses of medication are required to achieve the desired therapeutic effect. Documentation must include details of each administration, including the drug name, dosage, and patient monitoring. Reimbursement for D9612 can differ significantly depending on the insurance provider and state regulations, with an average reimbursement of around $76. It is advisable to confirm coverage policies with payors, as some may impose limitations on the number of administrations covered within a specific timeframe.
Reimbursement rates for D9612 vary significantly by state, payor, and provider network. The national average negotiated rate is $76. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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