Download GENERAL ORTHODONTIC INSURANCE CODES

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
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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
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
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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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