Negotiated reimbursement rates for D0480 across 5 states, sourced from CMS Transparency in Coverage data. 35 rate records.
D0480 refers to the accession of exfoliative cytologic smears, a procedure used to collect and analyze cells from the oral cavity for diagnostic purposes. This procedure is clinically indicated when there is a need to evaluate potential lesions or conditions affecting the oral mucosa. Documentation for billing should include the clinical rationale for the cytologic smear, details of the collection process, and any relevant patient history. Reimbursement for D0480 varies by payor and state, with an average reimbursement of approximately $105. Dental billing professionals should check with individual payors for specific coverage policies, as some may require prior authorization or have specific documentation requirements.
Reimbursement rates for D0480 vary significantly by state, payor, and provider network. The national average negotiated rate is $105. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
2+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| Nevada | $119 |
| California | $110 |
| South Carolina | $96 |
| New York | $82 |
| Ohio | $66 |
| State | Avg Rate |
|---|---|
| Nevada | $119 |
| California | $110 |
| South Carolina | $96 |
| New York | $82 |
| Ohio | $66 |