Accession of Tissue (Decalcification) (D0474) — National Rates

About D0474 — Accession of Tissue (Decalcification)

D0474 refers to the accession of tissue with a decalcification procedure. This is often necessary when dealing with hard tissue samples that require decalcification for accurate microscopic examination. Clinical indications include biopsies of calcified tissues, such as bone or teeth. Proper documentation should detail the decalcification process, the type of tissue, and the purpose of the examination. The average reimbursement for this procedure is around $116, but variations exist based on the payor and state. Some insurance companies may have specific guidelines for decalcification procedures, which can influence coverage and reimbursement rates.

Reimbursement rates for D0474 vary significantly by state, payor, and provider network. The national average negotiated rate is $116. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.