Negotiated reimbursement rates for D0475 across 4 states, sourced from CMS Transparency in Coverage data. 13 rate records.
The CDT code D0475 is designated for the decalcification procedure itself, which is essential for preparing hard tissue samples for microscopic analysis. This procedure is clinically indicated when the tissue sample is too calcified to be examined effectively without prior treatment. Documentation should include the type of tissue, the reason for decalcification, and any relevant clinical history. Reimbursement for this procedure averages around $73, but it can vary by payor and state. Some insurance plans may have specific criteria for coverage, and reimbursement may depend on whether the decalcification is billed separately or bundled with other services.
Reimbursement rates for D0475 vary significantly by state, payor, and provider network. The national average negotiated rate is $73. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
1+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| South Carolina | $95 |
| California | $69 |
| Indiana | $65 |
| New York | $55 |
| State | Avg Rate |
|---|---|
| South Carolina | $95 |
| California | $69 |
| Indiana | $65 |
| New York | $55 |