Re-Cement or Re-Bond Fixed Retainer - CDT Code Guide
Overview
CDT code D8698 refers to the procedure of re-cementing or re-bonding a fixed retainer on the maxillary arch. This procedure is typically necessary when a fixed retainer becomes loose or detached, which can occur due to normal wear and tear, accidental trauma, or inadequate bonding during initial placement. Fixed retainers are often used post-orthodontic treatment to maintain teeth alignment and prevent relapse. Ensuring that these retainers are securely bonded is crucial for the long-term success of orthodontic treatment. Dental professionals perform this procedure by cleaning the retainer and the teeth surfaces, applying a dental adhesive, and securing the retainer back in place. This code is used primarily in orthodontic practices but can also be relevant in general dentistry when managing post-orthodontic patients.
When to Use This Code
- When a fixed retainer on the maxillary arch becomes loose or detached.
- Following orthodontic treatment to ensure the retainer remains effective.
- In cases of accidental trauma that affects the stability of the retainer.
- When a patient reports discomfort or shifting of teeth due to a loose retainer.
- During routine orthodontic follow-up appointments if retainer issues are detected.
Documentation Requirements
- Detailed clinical notes describing the condition of the retainer prior to the procedure.
- Documentation of the patient's orthodontic history and the necessity of the retainer.
- Description of the procedure performed, including materials used for re-cementing or re-bonding.
- Patient consent for the procedure, especially if additional charges apply.
- Post-procedure instructions provided to the patient.
- Photographic evidence, if applicable, showing the retainer before and after the procedure.
Billing Considerations
When billing for D8698, it's important to note that this code is specific to the maxillary arch. Ensure that the procedure is not billed too frequently, as insurance companies may have limitations on how often this service is covered. Common modifiers may include those indicating the specific quadrant or arch treated. Verify with the patient's insurance provider for coverage details, as some plans may require pre-authorization or have specific criteria for coverage.
Related CDT Codes
Frequently Asked Questions
Re-cementing typically involves using a dental cement to secure a metal retainer, while re-bonding refers to using adhesive materials to attach a bonded retainer, often made of composite materials.
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