Negotiated reimbursement rates for D7860 across 2 states, sourced from CMS Transparency in Coverage data. 9 rate records.
Arthrotomy is a surgical procedure that involves opening the TMJ to allow for direct access to the joint for diagnosis or treatment. It is clinically indicated for patients with severe joint pathology or those who have not responded to conservative treatments. Thorough documentation is critical, including imaging and a detailed treatment history. The average reimbursement for D7860 is approximately $7, but this can vary by payor and state. Some insurance plans may have specific criteria for coverage, and reimbursement rates can differ based on local market conditions.
Reimbursement rates for D7860 vary significantly by state, payor, and provider network. The national average negotiated rate is $7. 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 |
| Pennsylvania | $8,295 |
| State | Avg Rate |
|---|---|
| New York | $8,295 |
| Pennsylvania | $8,295 |