Negotiated reimbursement rates for D9911 across 24 states, sourced from CMS Transparency in Coverage data. 136 rate records.
D9911 represents the application of a desensitizing resin, which is a more advanced treatment for tooth sensitivity. This procedure is indicated when patients have persistent sensitivity that does not respond to medicaments. Proper documentation should include the patient's history of sensitivity, the type of resin applied, and any prior treatments attempted. Reimbursement for this code can vary significantly among payors, with some considering it a cosmetic procedure and others covering it under restorative care. The average reimbursement for this service is approximately $42, with state regulations influencing coverage.
Reimbursement rates for D9911 vary significantly by state, payor, and provider network. The national average negotiated rate is $42. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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