Negotiated reimbursement rates for D9986 across 8 states, sourced from CMS Transparency in Coverage data. 56 rate records.
D9986 refers to the billing code for a missed appointment. This code is used when a patient fails to attend a scheduled dental appointment without prior notice. Clinical indications for this code include instances where the patient does not show up, resulting in a loss of revenue for the dental practice. Documentation should include the date and time of the missed appointment, as well as any attempts made to contact the patient regarding their absence. Reimbursement for this code varies by payor and state, with an average reimbursement of $32. Some insurance companies may not cover this fee, while others may allow it under specific circumstances, such as repeated missed appointments.
Reimbursement rates for D9986 vary significantly by state, payor, and provider network. The national average negotiated rate is $32. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Virginia | $44 |
| California | $43 |
| New York | $41 |
| Kansas | $34 |
| Florida | $23 |
| State | Avg Rate |
|---|---|
| Kansas | $34 |
| Florida | $23 |
| Louisiana | $23 |
| Nevada | $21 |
| Ohio | $16 |