Negotiated reimbursement rates for D9974 across 45 states, sourced from CMS Transparency in Coverage data. 483 rate records.
Internal Bleaching per Tooth, coded as D9974, is a procedure used to whiten discolored teeth that have undergone root canal treatment. Clinical indications include darkened teeth due to necrotic pulp or previous endodontic therapy. Documentation for billing should include the history of the tooth, the reason for discoloration, and the treatment performed. Reimbursement for D9974 can differ significantly between payors and states, with some insurance plans covering it as a necessary restorative procedure while others may not. The average reimbursement for this code is approximately $191, making it essential to verify coverage with the patient's insurance provider prior to treatment.
Reimbursement rates for D9974 vary significantly by state, payor, and provider network. The national average negotiated rate is $191. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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