Negotiated reimbursement rates for D9999 across 1 states, sourced from CMS Transparency in Coverage data. 4 rate records.
D9999 is the code for Unspecified Adjunctive Procedure, By Report, which is used for procedures that do not fall under established CDT codes but are necessary for patient care. Clinical indications may include unique situations requiring additional treatment or diagnostic measures. Documentation should provide a clear rationale for the procedure, including patient history and treatment objectives. Reimbursement for D9999 averages around $86, but it is highly variable depending on the payor and state policies, with some insurers requiring extensive justification for coverage.
Reimbursement rates for D9999 vary significantly by state, payor, and provider network. The national average negotiated rate is $86. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
-2+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| New York | $103 |
| State | Avg Rate |
|---|---|
| New York | $103 |