Negotiated reimbursement rates for D9992 across 6 states, sourced from CMS Transparency in Coverage data. 29 rate records.
D9992 represents Dental Case Management focused on care coordination. This service is essential for patients with complex dental needs requiring collaboration among multiple healthcare providers. Clinical indications include cases where a patient’s treatment plan involves referrals or coordination with other specialists. Documentation should include details of the care coordination efforts and any communication with other providers. The average reimbursement for this code is about $49, but it can differ by payor and state, as some insurance companies may have specific guidelines regarding coverage for care coordination services.
Reimbursement rates for D9992 vary significantly by state, payor, and provider network. The national average negotiated rate is $49. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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