Negotiated reimbursement rates for D9943 across 29 states, sourced from CMS Transparency in Coverage data. 161 rate records.
D9943 refers to an occlusal guard billed by report, which means that the dentist must provide detailed documentation justifying the need for the guard. This procedure is indicated for patients with bruxism or other occlusal issues that require a custom solution. Proper documentation is crucial and should include clinical findings, treatment rationale, and any previous treatments attempted. Reimbursement for this code can vary widely among payors, as some may require additional information or have specific guidelines for coverage. The average reimbursement for D9943 is approximately $63.
Reimbursement rates for D9943 vary significantly by state, payor, and provider network. The national average negotiated rate is $63. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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