Is D8680 used for both fixed and removable retainers?

Yes, D8680 can be used for both fixed and removable retainers as part of orthodontic retention.

Can D8680 be billed multiple times for the same patient?

Typically, D8680 is billed once per course of orthodontic treatment, but additional billing may be necessary if new retainers are required.

Does insurance usually cover D8680?

Coverage for D8680 varies by insurance plan, so it's important to verify benefits and coverage with the patient's provider.

What documentation is needed for billing D8680?

Documentation should include treatment notes, appliance removal records, retainer fitting details, and patient consent.

D8680

Orthodontic Retention - CDT Code Guide

Orthodontics/Other Orthodontic Services

Overview

CDT code D8680 pertains to orthodontic retention, a critical phase in orthodontic treatment. This procedure involves the removal of orthodontic appliances, such as braces, and the construction and placement of retainers to maintain the teeth's new alignment. Retainers are essential for preventing teeth from shifting back to their original positions after active orthodontic treatment. This code is typically used when a patient has completed their orthodontic treatment and requires retainers to stabilize their teeth. The process ensures that the results of months or years of orthodontic work are preserved, providing long-term benefits for the patient's oral health and aesthetics.

When to Use This Code

Upon completion of active orthodontic treatment to transition the patient to retention phase.
When removing fixed orthodontic appliances and fitting the patient with retainers.
For patients requiring a new set of retainers due to loss or damage of the original set.
In cases where the orthodontist determines that retention is necessary to maintain treatment results.
When a patient requests a retainer following orthodontic treatment completed elsewhere.

Documentation Requirements

Detailed treatment notes indicating the completion of active orthodontic treatment.
Records of the removal of orthodontic appliances.
Documentation of the construction and fitting of retainers.
Patient consent forms for retainer placement.
Progress notes detailing the patient's compliance and retainer care instructions.

Billing Considerations

When billing for D8680, it's important to note that this code is typically used once per course of orthodontic treatment. Insurance plans may have specific guidelines regarding the frequency and coverage of retainer placements. Common modifiers may not apply, but it's crucial to verify with the patient's insurance provider. Ensure that the patient's orthodontic treatment plan includes retention as a necessary phase to avoid claim denials.

Related CDT Codes

D8080 D8090 D8691 D8692 D8693

Frequently Asked Questions

CDT code D8680 covers the removal of orthodontic appliances and the construction and placement of retainers.

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