Negotiated reimbursement rates for D5960 across 1 states, sourced from CMS Transparency in Coverage data. 14 rate records.
D5960 is the code for a Speech Aid Prosthesis (Modification), which involves altering an existing speech aid prosthesis to better meet the patient's needs. This may be necessary due to changes in the patient's oral anatomy or to improve speech outcomes. Clinical indications for this modification include ongoing speech difficulties or discomfort with the current prosthesis. Documentation for billing should detail the specific modifications made and the clinical rationale behind them, along with relevant diagnostic codes. Average reimbursement for this procedure is around $54, but it can vary widely by payor and state. Some payors may have specific criteria for coverage, which can influence the reimbursement process.
Reimbursement rates for D5960 vary significantly by state, payor, and provider network. The national average negotiated rate is $54. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
-2+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| New York | $276 |
| State | Avg Rate |
|---|---|
| New York | $276 |