How long does a patient typically need to wear an occlusal orthotic device?

The duration varies based on individual needs, but patients often wear the device for several months to achieve optimal results.

Is an occlusal orthotic device covered by insurance?

Coverage depends on the patient's insurance plan and may require pre-authorization. It's important to check with the provider.

Can an occlusal orthotic device be used for bruxism?

Yes, these devices can also help manage bruxism by preventing teeth grinding and reducing jaw tension.

What materials are used to make an occlusal orthotic device?

These devices are typically made from durable acrylic or similar materials, custom-fitted to the patient's dental anatomy.

D7880

Occlusal Orthotic Device - CDT Code Guide

Oral & Maxillofacial Surgery/Reduction of Dislocation and Management of Other Temporomandibular Joint Dysfunctions

Overview

CDT code D7880 refers to the provision of an occlusal orthotic device, commonly known as a splint, used in the treatment of temporomandibular joint (TMJ) dysfunction. This device is designed to alleviate symptoms associated with TMJ disorders, such as jaw pain, headaches, and difficulty in jaw movement. Typically, the procedure involves creating a custom-fitted appliance that patients wear to reduce strain on the jaw muscles and joints. Dental professionals often recommend these devices for patients experiencing chronic TMJ issues, aiming to improve their quality of life by managing pain and preventing further joint damage.

When to Use This Code

Patient presents with chronic temporomandibular joint pain and dysfunction.
Patient experiences frequent headaches related to jaw muscle tension.
Patient has difficulty in jaw movement due to TMJ disorders.
Patient requires a non-invasive treatment option for TMJ management.
Patient needs a preventive measure to avoid further TMJ complications.

Documentation Requirements

Detailed patient history indicating TMJ dysfunction symptoms.
Clinical examination notes supporting the need for an occlusal orthotic device.
Description of the custom device fabricated for the patient.
Patient consent form acknowledging understanding of the treatment plan.
Follow-up care instructions and patient compliance records.
Progress notes documenting the effectiveness of the device over time.

Billing Considerations

When billing for D7880, ensure that the documentation clearly supports the medical necessity of the device. Frequency limitations may apply, and it's important to verify with the patient's insurance provider regarding coverage for TMJ treatments. Common modifiers may include those indicating the specific quadrant or arch treated. Be aware that some insurance plans may require pre-authorization for TMJ-related procedures.

Related CDT Codes

D7890 D7891 D7892 D7893 D7894

Frequently Asked Questions

An occlusal orthotic device is used to alleviate symptoms of TMJ dysfunction by reducing strain on the jaw muscles and joints.

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