How often can D8699 be billed?

The frequency of billing D8699 depends on the insurance policy and clinical necessity. Frequent use may require additional documentation to justify the need.

What materials are used in re-cementing a retainer?

Dental cement or bonding agents are commonly used to re-cement or re-bond fixed retainers, ensuring a secure attachment to the teeth.

Can D8699 be used for both upper and lower retainers?

D8699 specifically applies to the mandibular (lower) arch. A different code may be needed for the maxillary (upper) arch.

D8699

Re-cement or Re-bond Fixed Retainer - CDT Code Guide

Orthodontics/Other Orthodontic Services

Overview

CDT Code D8699 is used for the procedure of re-cementing or re-bonding a fixed retainer on the mandibular arch. This procedure is typically necessary when a fixed retainer, commonly used after orthodontic treatment to maintain teeth alignment, becomes loose or detached. The process involves cleaning the area, preparing the tooth surface, and securely re-attaching the retainer using dental cement or bonding agents. This code is crucial for maintaining the long-term stability of orthodontic results and ensuring patient comfort and oral health.

When to Use This Code

When a fixed retainer on the mandibular arch becomes loose or detached.
After orthodontic treatment to ensure the retainer remains effective.
When a patient reports discomfort or shifting teeth due to a loose retainer.
During a routine orthodontic check-up if the retainer's bond is compromised.
If the retainer is damaged and needs re-bonding to function properly.

Documentation Requirements

Detailed clinical notes describing the condition of the retainer and reason for re-cementing.
Patient's orthodontic history and treatment plan.
Description of the procedure performed, including materials used.
Photographic evidence if applicable, showing the retainer before and after the procedure.
Patient consent for the procedure.
Follow-up care instructions provided to the patient.

Billing Considerations

When billing for D8699, it is important to note any frequency limitations set by insurance providers. This code may not be covered if used too frequently without proper justification. Common modifiers may include those indicating the specific quadrant or arch treated. Always verify with the patient's insurance for coverage details and any pre-authorization requirements.

Related CDT Codes

D8680 D8690 D8703 D8704 D8999

Frequently Asked Questions

Coverage for D8699 varies by insurance provider. It's important to verify with the patient's insurance for specific coverage details and any pre-authorization requirements.

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