Negotiated reimbursement rates for D9952 across 48 states, sourced from CMS Transparency in Coverage data. 565 rate records.
D9952 refers to a complete occlusal adjustment, a procedure aimed at correcting the bite by adjusting the occlusal surfaces of the teeth. Clinical indications for this procedure include symptoms of temporomandibular joint (TMJ) disorders, bruxism, or other occlusal discrepancies that may lead to discomfort or functional issues. Proper documentation for billing should include a detailed clinical note outlining the patient's symptoms, the rationale for the adjustment, and any diagnostic tests performed. Reimbursement for this procedure can vary significantly by payor and state, with average costs around $413. Some insurance plans may cover a portion of this procedure, while others may classify it as a non-covered service, so it's essential to verify benefits prior to treatment.
Reimbursement rates for D9952 vary significantly by state, payor, and provider network. The national average negotiated rate is $413. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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