Negotiated reimbursement rates for D9975 across 27 states, sourced from CMS Transparency in Coverage data. 206 rate records.
External Bleaching (Home Application, Per Arch), coded as D9975, involves providing patients with custom trays and bleaching agents for at-home use to whiten their teeth. This procedure is indicated for patients seeking a more gradual whitening process or those who prefer at-home care. Documentation should include the patient's consent, instructions provided, and any follow-up assessments. Reimbursement for D9975 can vary by payor, with some plans offering partial coverage while others may classify it as cosmetic. The average reimbursement for this procedure is around $77, and it is advisable to confirm the specifics of the patient's insurance benefits to ensure proper billing.
Reimbursement rates for D9975 vary significantly by state, payor, and provider network. The national average negotiated rate is $77. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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