GENERAL ORTHODONTIC INSURANCE CODES - Great Lakes Dental Tech

GENERAL ORTHODONTIC INSURANCE CODES

LIMITED ORTHODONTIC TREATMENT Definition:

Orthodontic treatment with a limited objective, not involving the entire dentition. It may be directed at the only existing problem, or at only one aspect of a larger problem in which a decision is made to defer or forego more comprehensive therapy.

Examples of this type of treatment in one arch only to correct crowding, partial treatment to open spaces or upright a tooth for a bridge or implant and partial treatment for closure of a space(s).

CODE

DEFINITION___________________________________

D8010 D8020

Limited orthodontic treatment of the primary dentition Limited orthodontic treatment of the transitional dentition

D8030 D8040

Limited orthodontic treatment of the adolescent dentition Limited orthodontic treatment of the adult dentition

INTERCEPTIVE ORTHODONTIC TREATMENT Definition:

Treatment using codes for interceptive orthodontic treatment are for procedures to lessen the severity or future effects of a malformation and to eliminate its cause.

An extension of preventive orthodontics that may include localized tooth movement. Such treatment may occur in the primary or transitional dentition and may include such procedures as the redirection of ectopically erupting teeth, correction of isolated dental crossbite or recovery of recent minor space loss where overall space is adequate.

The key to successful interception is intervention in the incipient stages of a developing problem to lessen the severity of the malformation and eliminate its cause. Complicating factors such as skeletal disharmonies, overall space deficiency, or other conditions may require future comprehensive therapy.

Early phases of comprehensive therapy may utilize some procedures that might also be used interceptively, but such procedures are not considered interceptive in those applications.

CODE

DEFINITION________________________________________________

D8050 D8060

Interceptive Orthodontic treatment of the Primary Dentition Interceptive Orthodontic treatment of the Transitional Dentition

LAB FM ? 35 Rev: 12/20/07

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COMPREHENSIVE ORTHODONTIC TREATMENT

These codes should be used when there are multiple phases of treatment provided at different stages of dentofacial development.

For example, the use of an activator is generally stage one of a two-stage treatment. In this situation, placement of fixed appliances will generally be stage two of a two-stage treatment. Both phases should be listed as comprehensive treatment modified by the appropriate stage of dental development.

This is used to report the coordinated diagnosis and treatment leading to the improvement of a patient's craniofacial dysfunction and/or dentofacial deformity including anatomical, functional and aesthetic relationships. Treatment usually, but not necessarily, utilizes fixed orthodontic appliances. Adjunctive procedures, such as extractions, maxillofacial surgery, nasopharyngeal surgery, myofunctional or speech therapy and restorative or periodontal care, may be coordinated disciplines. Optimal care requires longterm consideration of patient's needs and periodic re-evaluation. Treatment may incorporate several phases with specific objectives at various stages of dentofacial development.

CODE

DEFINITION________________________________________________

D8070

Comprehensive orthodontic treatment of the transitional dentition

D8080

Comprehensive orthodontic treatment of the adolescent dentition

D8090

Comprehensive orthodontic treatment of the adult dentition

MINOR TREATMENT TO CONTROL HARMFUL HABITS

CODE

DEFINITION________________________________________________

D8210

Removable appliance therapy Removable indicates patient can remove; includes appliances for thumb sucking and tongue thrusting.

D8220

Fixed appliance therapy Fixed indicates patient cannot remove appliance; includes appliances for thumb sucking and tongue thrusting.

LAB FM ? 35 Rev: 12/20/07

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MICROIMPLANT PLACEMENT

CODE

DEFINITION________________________________________________

D9215

Local Anesthesia

D7292

Surgical Placement: Temporary Anchorage Device (screw retained plate) Requiring Surgical Flap Insertion of a temporary skeletal anchorage device that is attached to the bone by screws and requires a surgical flap. Includes device removal.

D7293

Surgical Placement: Temporary Anchorage Device Requiring Surgical Flap Insertion of a device for temporary skeletal anchorage when a surgical flap is required. Includes device removal.

D7294

Surgical Placement: Temporary Anchorage Device without Surgical Flap Insertion of a device for temporary skeletal anchorage when a surgical flap is not required. Includes device removal.

OTHER ORTHODONTIC SERVICES

CODE

DEFINITION________________________________________________

D8660

Pre-orthodontic treatment visit

D8670

Periodic orthodontic treatment visit (as part of contract)

D8680

Orthodontic retention (removal of appliances, construction and placement of retainer(s)).

D8690

D8691

D8692 D8693 D8999

Orthodontic treatment (alternative billing to a contract fee) Services provided by dentist other than original treating dentist. A method of payment between the provider and responsible party for services that reflect an open-ended fee arrangement.

Repair of orthodontic appliance Does not include bracket and standard fixed orthodontic appliances. It does include functional appliances and palatal expanders.

Replacement of lost or broken retainer

Rebonding or recementing; and/or repair, as required, of fixed retainers

Unspecified orthodontic procedure, by report Used for procedure that is not adequately described by a code. Describe procedure.

LAB FM ? 35 Rev: 12/20/07

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Provided By: Great Lakes Orthodontics Ltd. 200 Cooper Ave. Tonawanda, NY 14150 716-871-1161 800-828-7626 716-871-0550 FAX

Insurance Codes and Descriptions From: Current Dental Terminology 2007-2008 American Dental Association

LAB FM ? 35 Rev: 12/20/07

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