Negotiated reimbursement rates for D9973 across 26 states, sourced from CMS Transparency in Coverage data. 141 rate records.
External Bleaching per Tooth, coded as D9973, involves the application of bleaching agents to individual teeth to achieve a whiter appearance. This procedure is clinically indicated for patients with localized discoloration or specific teeth that require whitening. Proper documentation should include the patient's consent, the specific teeth treated, and the bleaching agent used. Reimbursement for D9973 varies by payor, with some plans offering coverage while others may consider it cosmetic and not reimbursable. The average reimbursement for this procedure is around $43, but it is crucial to check the patient's insurance benefits to avoid unexpected costs.
Reimbursement rates for D9973 vary significantly by state, payor, and provider network. The national average negotiated rate is $43. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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