Negotiated reimbursement rates for D5914 across 2 states, sourced from CMS Transparency in Coverage data. 14 rate records.
D5914 involves the creation of an auricular prosthesis, which is used to replace or reconstruct the external ear. This procedure is clinically indicated for patients who have experienced ear loss due to trauma, surgical removal, or congenital defects. Comprehensive documentation is critical and should include clinical notes, patient history, and the specific need for the prosthesis to justify the procedure. Average reimbursement for D5914 is approximately $779, but this can vary significantly based on the insurance provider and state regulations. Some payors may have specific criteria for coverage, while others may classify it differently, affecting reimbursement rates. Dental billing professionals must be knowledgeable about each payor's policies to ensure accurate claims submission and maximize reimbursement.
Reimbursement rates for D5914 vary significantly by state, payor, and provider network. The national average negotiated rate is $779. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
-1+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| New York | $8,295 |
| Ohio | $1,256 |
| State | Avg Rate |
|---|---|
| New York | $8,295 |
| Ohio | $1,256 |