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CDT-2005 Orthodontic Codes in PDF Format
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DENTITION:

PRIMARY DENTITION: TEETH DEVELOPED AND ERUPTED FIRST IN ORDER OF TIME.

TRANSITIONAL DENTITION: THE FINAL PHASE OF THE TRANSITION FROM PRIMARY TO ADULT TEETH, IN WHICH THE DECIDUOUS MOLARS AND CANINES ARE IN THE PROCESS OF SHEDDING AND THE PERMANENT SUCCESSORS ARE EMERGING.

ADOLESCENT DENTITION: THE DENTITION THAT IS PRESENT AFTER THE NORMAL LOSS OF PRIMARY TEETH AND PRIOR TO CESSATION OF GROWTH THAT WOULD AFFECT ORTHODONTIC TREATMENT.

ADULT DENTITION: THE DENTITION THAT IS PRESENT AFTER THE CESSATION OF GROWTH THAT WOULD AFFECT ORTHODONTIC TREATMENT.

ALL OF THESE CODES MAY BE USED MORE THAN ONCE FOR THE TREATMENT OF A PARTICULAR PATIENT DEPENDING ON THE PARTICULAR CIRCUMSTANCE. A PATIENT MAY REQUIRE MORE THAN ONE INTERCEPTIVE PROCEDURE OR MORE THAN ONE LIMITED PROCEDURE DEPENDING ON THEIR PARTICULAR PROBLEM.

LIMITED ORTHODONTIC TREATMENT:

ORTHODONTIC TREATMENT WITH A LIMITED OBJECTIVE, NOT INVOLVING THE ENTIRE DENTITION. IT MAY BE DIRECTED AT THE ONLY EXISTING PROBLEM, OR AT ONLY ONE ASPECT OF A LARGER PROBLEM IN WHICH A DECISION IS MADE TO DEFER OR FOREGO MORE COMPREHENSIVE THERAPY.

EXAMPLES OF THIS TYPE OF TREATMENT WOULD BE TREATMENT IN ONE ARCH ONLY TO CORRECT CROWDING, PARTIAL TREATMENT TO OPEN SPACES OR UPRIGHT A TOOTH FOR A BRIDGE OR IMPLANT AND PARTIAL TREATMENT FOR CLOSURE OF A SPACE(S).

D8010 LIMITED ORTHODONTIC TREATMENT OF THE PRIMARY DENTITION

D8020 LIMITED ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION

D8030 LIMITED ORTHODONTIC TREATMENT OF THE ADOLESCENT DENTITION

D8040 LIMITED ORTHODONTIC TREATMENT OF THE ADULT DENTITION

INTERCEPTIVE ORTHODONTIC TREATMENT:

TREATMENT USING CODES FOR INTERCEPTIVE ORTHODONTIC TREATMENT ARE FOR PROCEDURES TO LESSEN THE SEVERITY OR FUTURE EFFECTS OF A MALFORMATION AND TO ELIMINATE ITS CAUSE.

AN EXTENSION OF PREVENTIVE ORTHODONTICS THAT MAY INCLUDE LOCALIZED TOOTH MOVEMENT. SUCH TREATMENT MAY OCCUR IN THE PRIMARY OR TRANSITIONAL DENTITION AND MAY INCLUDE SUCH PROCEDURES AS THE REDIRECTION OF ECTOPICALLY ERUPTING TEETH, CORRECTION OF ISOLATED DENTAL CROSSBITE OR RECOVERY OF RECENT MINOR SPACE LOSS WHERE OVERALL SPACE IS ADEQUATE.

THE KEY TO SUCCESSFUL INTERCEPTION IS INTERVENTION IN THE INCIPIENT STAGES OF A DEVELOPING PROBLEM TO LESSEN THE SEVERITY OF THE MALFORMATION AND ELIMINATE ITS CAUSE. COMPLICATING FACTORS SUCH AS SKELETAL DISHARMONIES, OVERALL SPACE DEFICIENCY, OR OTHER CONDITIONS MAY REQUIRE FUTURE COMPREHENSIVE THERAPY.

EARLY PHASES OF COMPREHENSIVE THERAPY MAY UTILIZE SOME PROCEDURES THAT MIGHT ALSO BE USED INTERCEPTIVELY, BUT SUCH PROCEDURES ARE NOT CONSIDERED INTERCEPTIVE IN THOSE APPLICATIONS.

D8050 INTERCEPTIVE ORTHODONTIC TREATMENT OF THE PRIMARY DENTITION

D8060 INTERCEPTIVE ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION

COMPREHENSIVE ORTHODONTIC TREATMENT:

THIS CODE SHOULD BE USED WHEN THERE ARE MULTIPLE PHASES OF TREATMENT PROVIDED AT DIFFERENT STAGES OF DENTOFACIAL DEVELOPMENT.

FOR EXAMPLE, THE USE OF AN ACTIVATOR IS GENERALLY STAGE ONE OF A TWO-STAGE TREATMENT. IN THIS SITUATION, PLACEMENT OF FIXED APPLIANCES WILL GENERALLY BE STAGE TWO OF A TWO-STAGE TREATMENT. BOTH PHASES SHOULD BE LISTED AS COMPREHENSIVE TREATMENT MODIFIED BY THE APPROPRIATE STAGE OF DENTAL DEVELOPMENT.

THIS IS USED TO REPORT THE COORDINATED DIAGNOSIS AND TREATMENT LEADING TO THE IMPROVEMENT OF A PATIENT'S CRANIOFACIAL DYSFUNCTION AND/OR DENTOFACIAL DEFORMITY INCLUDING ANATOMICAL, FUNCTIONAL AND AESTHETIC RELATIONSHIPS. TREATMENT USUALLY, BUT NOT NECESSARILY, UTILIZES FIXED

ORTHODONTIC APPLIANCES. ADJUNCTIVE PROCEDURES, SUCH AS EXTRACTIONS, MAXILLOFACIAL SURGERY, NASOPHARYNGEAL SURGERY, MYOFUNCTIONAL OR SPEECH THERAPY AND RESTORATIVE OR PERIODONTAL CARE, MAY BE COORDINATED DISCIPLINES. OPTIMAL CARE REQUIRES LONG-TERM CONSIDERATION OF A PATIENT'S NEEDS AND PERIODIC RE-EVALUATION. TREATMENT MAY INCORPORATE SEVERAL PHASES WITH SPECIFIC OBJECTIVES AT VARIOUS STAGES OF DENTOFACIAL DEVELOPMENT.

D8070 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION

D8080 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADOLESCENT DENTITION

D8090 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADULT DENTITION

MINOR TREATMENT TO CONTROL HARMFUL HABITS:

D8210 REMOVABLE APPLIANCE THERAPY-REMOVABLE INDICATES PATIENT CAN REMOVE; INCLUDES APPLIANCES FOR THUMB SUCKING AND TONGUE THRUSTING.

D8220 FIXED APPLIANCE THERAPY-FIXED INDICATES PATIENT CANNOT REMOVE APPLIANCE; INCLUDES APPLIANCES FOR THUMB SUCKING AND TONGUE THRUSTING.

OTHER ORTHODONTIC SERVICES AND ANCILLARY CODES:

D8660 PRE-ORTHODONTIC TREATMENT VISIT

D8670 PERIODIC ORTHODONTIC TREATMENT VISIT (AS PART OF CONTRACT)

D8680 ORTHODONTIC RETENTION (REMOVAL OF APPLIANCES, CONSTRUCTION AND PLACEMENT OF RETAINER(S)

D8690 ORTHODONTIC TREATMENT (ALTERNATIVE BILLING TO A CONTRACT FEE) SERVICES PROVIDED BY DENTIST OTHER THAN ORIGINAL TREATING DENTIST. A METHOD OF PAYMENT BETWEEN THE PROVIDER AND RESPONSIBLE PARTY FOR SERVICES THAT REFLECT AN OPEN-ENDED FEE ARRANGEMENT

D8691 REPAIR OF ORTHODONTIC APPLIANCE-DOES NOT INCLUDE BRACKET AND STANDARD FIXED ORTHO APPLIANCES. IT DOES INCLUDE FUNCTIONAL APPLIANCE AND PALATAL EXPANDERS.

D8692 REPLACEMENT OF LOST OR BROKEN RETAINER

D8999 UNSPECIFIED ORTHODONTIC PROCEDURE, BY REPORT-USED FOR PROCEDURE WHICH IS NOT ADEQUATELY DESCRIBED BY A CODE. DESCRIBE PROCEDURE.

D0150 COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT

D0220 INTRAORAL - PERIAPICAL FIRST FILM

DO230 INTRAORAL ? PERIAPICAL EACH ADDITIONAL FILM

D0330 PANORAMIC FILM

D0340 CEPHALOMETRIC FILM

D0350 ORAL/FACIAL PHOTOGRAPHIC IMAGES

D0470 DIAGNOSTIC CASTS

D9450 CASE PRESENTATION, DETAILED AND EXTENSIVE TREATMENT PLANNING-ESTABLISHED PATIENT. NOT PERFORMED ON SAME DAY AS EVALUATION

CDT-2005 ORTHODONTIC CODES REPRODUCED WITH THE PERMISSION OF THE AMERICAN DENTAL ASSOCIATION