Comprehensive Adult Orthodontics - CDT Code Guide
Overview
CDT code D8090 pertains to the comprehensive orthodontic treatment of adult dentition. This procedure involves the complete management and correction of dental and facial irregularities in adults through the use of braces or other orthodontic appliances. Typically, this treatment is sought by adults who wish to correct misaligned teeth, improve bite function, or enhance aesthetic appearance. The process generally includes an initial assessment, development of a treatment plan, and ongoing adjustments to achieve the desired results. Clinically, this code is applicable when a patient requires extensive orthodontic intervention beyond minor adjustments, often involving a multi-year treatment plan.
When to Use This Code
- An adult patient presents with significant malocclusion requiring full orthodontic treatment.
- A patient seeks to correct severe crowding or spacing issues in adult dentition.
- An adult patient with a deep bite or open bite that affects oral function and aesthetics.
- Patients with crossbite or other jaw alignment issues needing comprehensive correction.
- Adults requiring orthodontic treatment as part of a multidisciplinary dental plan.
Documentation Requirements
- Detailed initial orthodontic assessment and diagnosis.
- Comprehensive treatment plan outlining objectives and expected outcomes.
- Progress notes documenting each adjustment and patient response.
- Records of patient consent and understanding of treatment duration and goals.
- Photographic evidence and radiographs supporting the necessity of treatment.
Billing Considerations
When billing for D8090, it is important to note that many insurance plans have specific frequency limitations and may require pre-authorization. Common modifiers might include those indicating the stage of treatment or specific appliances used. It's crucial to verify the patient's insurance policy for orthodontic coverage, as adult orthodontics may not be covered under all plans.
Related CDT Codes
Frequently Asked Questions
This includes the full scope of orthodontic care, from initial assessment to the final removal of appliances, addressing all necessary corrections.
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