Negotiated reimbursement rates for D9941 across 43 states, sourced from CMS Transparency in Coverage data. 611 rate records.
D9941 involves the fabrication of an athletic mouthguard, which is essential for protecting the teeth and jaw during sports activities. This procedure is indicated for patients engaged in contact sports or activities with a high risk of dental injury. Documentation should include the patient's age, sport participation, and any previous dental injuries. Reimbursement for athletic mouthguards can vary significantly by payor; some may cover the full cost while others may have restrictions based on the patient's age or the type of sport. The average reimbursement for this procedure is approximately $193.
Reimbursement rates for D9941 vary significantly by state, payor, and provider network. The national average negotiated rate is $193. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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