Question

Q: How is the removal of orthodontic appliances (i.e., brackets, wires, etc.) reported when removal
is necessary for completion of other dental treatment, or at the request of the patient for special events such as a wedding, or to discontinue treatment due to financial obligations?

A: Report D8695 removal of fixed orthodontic appliance for reasons other than completion of treatment.

Q: How can a consultation regarding treatment plan of an orthodontic case be reported?

A: Report D9450 case presentation, detailed and extensive treatment planning.

Q: How do we a report a Myobrace appliance?

A: The appropriate code is based on the documented diagnosis (or treated condition). If the appliance is used to treat a habit, such as tongue thrusting, report D8210. If the appliance is used to reposition the tongue to treat sleep apnea or snoring, report D5999.

Note: Most medical plans, including Medicare, exclude coverage for the use of a tongue repositioning appliance to treat sleep apnea or snoring.

Q: How do we report the replacement of an existing orthodontic retainer, fixed or removable?

A: If the retainer is lost or broken, report D8703 or D8704, replacement of a lost or broken retainer, maxillary or mandibular, respectively. In the clinical notes, document that the retainer was lost or broken and requires replacement.

Q: How do we report the placement of a fixed retainer at the request of a patient who is currently
wearing a removable retainer?

A: There is no code to describe a retainer being replaced under these circumstances. Report D8999, unspecified orthodontic treatment, by report.

Q: How do we report the reattachment of a fixed orthodontic retainer?

A: Report D8698 or D8699, maxillary or mandibular, respectively, when re-cementing or re-bonding a fixed
orthodontic retainer.

Q: What code reports the repair of an existing broken fixed orthodontic retainer?

A: Report D8701 or D8702 maxillary or mandibular, respectively, for the repair of a fixed orthodontic retainer (includes reattachment).