Negotiated reimbursement rates for D5912 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.
D5912 describes the procedure for creating a complete facial moulage, which captures the entire facial structure for prosthetic purposes. This procedure is indicated for patients who have experienced significant facial trauma or congenital anomalies requiring comprehensive prosthetic solutions. Documentation should include detailed clinical notes, photographs, and a rationale for the need for a complete moulage. Average reimbursement for D5912 is around $92, but this can vary widely depending on the insurance provider and state regulations. Some payors may have specific guidelines for coverage, while others may consider this procedure elective, impacting reimbursement rates. Dental billing professionals must be well-versed in the nuances of each payor's policies to ensure proper claims submission and payment.
Reimbursement rates for D5912 vary significantly by state, payor, and provider network. The national average negotiated rate is $92. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
-2+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| New York | $89 |
| State | Avg Rate |
|---|---|
| New York | $89 |