Negotiated reimbursement rates for D0190 across 27 states, sourced from CMS Transparency in Coverage data. 161 rate records.
D0190 is the code for the screening of a patient, which is typically a preliminary assessment to determine if further evaluation or treatment is necessary. This procedure is often used in public health settings or during community outreach programs. Documentation should include the findings of the screening and any recommendations for follow-up care. Reimbursement for D0190 is generally lower than for other evaluation codes, and coverage can vary significantly by payor. Many insurance plans may not cover screenings, so it's important for billing professionals to confirm coverage details with each insurer to ensure proper billing.
Reimbursement rates for D0190 vary significantly by state, payor, and provider network. The national average negotiated rate is $25. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| North Dakota | $70 |
| South Carolina | $63 |
| Hawaii | $40 |
| Oregon | $40 |
| New York | $40 |
| State | Avg Rate |
|---|---|
| Vermont | $15 |
| Tennessee | $15 |
| Nebraska | $14 |
| Minnesota | $14 |
| Iowa | $11 |