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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 Limited orthodontic treatment of the primary dentition D8020 Limited orthodontic treatment of the transitional dentition D8030 Limited orthodontic treatment of the adolescent dentition D8040 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 Interceptive Orthodontic treatment of the Primary Dentition D8060 Interceptive Orthodontic treatment of the Transitional Dentition LAB FM – 35 Rev: 12/20/07 Page 1 of 4 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 Page 2 of 4 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 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. D8691 Repair of orthodontic appliance Does not include bracket and standard fixed orthodontic appliances. It does include functional appliances and palatal expanders. D8692 Replacement of lost or broken retainer D8693 Rebonding or recementing; and/or repair, as required, of fixed retainers D8999 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 Page 3 of 4 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 Page 4 of 4