Negotiated reimbursement rates for D9957 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.
D9957 is the code for the repair or reactivation of a sleep apnea appliance. This procedure is indicated when a patient’s appliance requires adjustments or repairs to ensure its effectiveness in treating obstructive sleep apnea. Documentation should include the reason for the repair, details of the appliance, and any adjustments made during the procedure. Reimbursement for this service averages around $51 but can vary widely depending on the patient's insurance plan and state regulations. Some payors may have specific guidelines regarding coverage for repairs, so it's crucial to check the patient's benefits beforehand.
Reimbursement rates for D9957 vary significantly by state, payor, and provider network. The national average negotiated rate is $51. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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