Negotiated reimbursement rates for D0802 across 13 states, sourced from CMS Transparency in Coverage data. 44 rate records.
D0802 pertains to the 3D Surface Scan conducted after orthodontic treatment. This imaging is vital for assessing the outcomes of orthodontic procedures and ensuring that the desired results have been achieved. Clinical indications include monitoring changes in tooth position and occlusion post-treatment. Proper documentation is essential, including the rationale for the scan and any treatment outcomes being evaluated. The average reimbursement for D0802 is around $106, but this amount can differ based on the patient's insurance plan and state regulations. Some payors may have specific criteria for coverage, so it is important to verify these details prior to billing.
Reimbursement rates for D0802 vary significantly by state, payor, and provider network. The national average negotiated rate is $106. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Colorado | $145 |
| Iowa | $145 |
| Texas | $145 |
| California | $125 |
| Missouri | $108 |
| State | Avg Rate |
|---|---|
| New York | $72 |
| Illinois | $61 |
| Kentucky | $52 |
| Pennsylvania | $48 |
| Virginia | $48 |