Synthetic Graft — Mandible or Facial Bones (D7995) — National Rates

About D7995 — Synthetic Graft — Mandible or Facial Bones

D7995 is the code for the placement of a synthetic graft in the mandible or facial bones, often used to augment bone volume for implants or repair defects. Clinical indications include bone loss due to trauma, disease, or congenital defects. Documentation must include the patient's medical history, imaging studies, and the specific grafting material used. Reimbursement for this procedure can vary significantly, with an average of $263, depending on the payor's policies and the state. Some payors may require prior authorization or specific documentation to justify the procedure.

Reimbursement rates for D7995 vary significantly by state, payor, and provider network. The national average negotiated rate is $263. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.