Negotiated reimbursement rates for D9947 across 7 states, sourced from CMS Transparency in Coverage data. 13 rate records.
D9947 pertains to the fabrication and delivery of a custom sleep apnea appliance. This appliance is designed to help manage obstructive sleep apnea by repositioning the jaw to maintain an open airway during sleep. Clinical indications include a diagnosis of sleep apnea confirmed by a sleep study. Documentation for this procedure should include the patient's medical history, the results of the sleep study, and any referrals from medical professionals. Reimbursement for D9947 can vary widely among payors, with some medical insurance plans covering the cost while dental plans may not. The average reimbursement for this procedure is nominal, often cited as $1, highlighting the need for dental billing professionals to navigate the complexities of insurance coverage carefully.
Reimbursement rates for D9947 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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