How often can D8660 be billed?

The frequency of billing D8660 depends on the dentist's assessment of the patient's needs and any insurance policy limitations. Regular intervals are typically established by the dentist.

Does D8660 include diagnostic procedures?

No, D8660 does not include diagnostic procedures. Any diagnostics performed should be documented and billed separately.

What age group is D8660 most applicable for?

D8660 is most applicable for children and adolescents who are in the developmental stages of their dentition, particularly those in the mixed dentition phase.

Can D8660 be used for adult patients?

While primarily used for monitoring growth in younger patients, D8660 can be applicable for adults in specific scenarios, such as monitoring post-orthodontic treatment stability.

D8660

Pre-Orthodontic Exam - CDT Code Guide

Orthodontics/Other Orthodontic Services

Overview

The CDT code D8660 refers to a pre-orthodontic treatment examination designed to monitor the growth and development of a patient's dentition. This procedure is crucial for determining the optimal timing for initiating orthodontic treatment. During these examinations, a dentist will periodically assess the patient's dental development at intervals they deem appropriate. This helps in identifying the right moment to start orthodontic interventions, ensuring the best possible outcomes. The procedure involves a thorough observation of the patient's teeth and jaw development, but any diagnostic procedures performed during this examination are documented separately.

When to Use This Code

When a patient is in the mixed dentition phase and orthodontic treatment is anticipated.
For patients with a history of orthodontic issues in the family, requiring close monitoring.
When evaluating the dental development of a child with early signs of malocclusion.
In cases where a patient has undergone previous orthodontic treatment and requires monitoring.
For patients exhibiting delayed dental eruption patterns.

Documentation Requirements

Detailed notes on the patient's dental growth and development status.
Documentation of the intervals at which observations are made.
Records of any changes in the patient's dentition since the last examination.
Separate documentation for any diagnostic procedures performed.
Patient consent for ongoing monitoring and potential future treatment.
Justification for the timing of orthodontic intervention based on observations.

Billing Considerations

D8660 is typically billed at regular intervals as determined by the dentist. It is important to note any frequency limitations imposed by insurance providers. Common modifiers may include those indicating the patient's age or developmental stage. Insurance coverage for this code may vary, so verifying benefits beforehand is recommended.

Related CDT Codes

D0150 D8080 D8670 D8680 D8690

Frequently Asked Questions

Coverage for D8660 varies by insurance provider. It's advisable to check with the patient's insurance for specific benefits related to pre-orthodontic examinations.

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