Can D8671 be used for non-surgical orthodontic visits?

No, D8671 specifically pertains to visits associated with orthognathic surgery.

How often can D8671 be billed?

The frequency of billing D8671 depends on the patient's treatment plan and insurance coverage; typically, it aligns with the periodic nature of orthodontic follow-ups.

Is prior authorization required for D8671?

This depends on the patient's insurance policy. It is advisable to check with the insurance provider for any prior authorization requirements.

What documentation is needed to support billing D8671?

Comprehensive visit notes, treatment progress, and communication with the surgical team are essential for supporting the billing of D8671.

D8671

Periodic Ortho Visit Surgery - CDT Code Guide

Orthodontics

Overview

CDT Code D8671 refers to a periodic orthodontic treatment visit that is associated with orthognathic surgery. This code is used to document regular follow-up visits that are essential for monitoring the progress of orthodontic treatment in conjunction with corrective jaw surgery. These visits are crucial for ensuring that the orthodontic appliances are functioning correctly and that the surgical outcomes are being achieved as planned. Typically, these visits involve adjustments to orthodontic appliances, assessment of the patient's progress, and coordination with the surgical team to ensure optimal treatment outcomes. This code is commonly used in cases where patients are undergoing complex treatment plans that require both orthodontic and surgical interventions.

When to Use This Code

During routine follow-up visits after orthognathic surgery.
When adjustments to orthodontic appliances are needed post-surgery.
In conjunction with monitoring the healing process of the jaw post-surgery.
To coordinate treatment plans between orthodontists and oral surgeons.
When evaluating the progress of orthodontic treatment linked to surgical outcomes.

Documentation Requirements

Detailed notes of the orthodontic visit and any adjustments made.
Documentation of the patient's progress and any changes in treatment plan.
Records of communication between the orthodontist and oral surgeon.
Patient's consent and understanding of the ongoing treatment plan.
Photographic records or X-rays, if applicable, to document changes.
Billing records that reflect the periodic nature of the visits.

Billing Considerations

When billing for D8671, it is important to note that this code is typically used in conjunction with other orthodontic and surgical codes. Frequency limitations may apply depending on the patient's insurance plan, so it is essential to verify coverage details. Common modifiers may include those indicating the phase of treatment or coordination with surgical procedures. Ensure that all documentation is thorough to support the necessity of the periodic visits in relation to the surgery.

Related CDT Codes

D8080 D8090 D8210 D8680 D8690

Frequently Asked Questions

These visits are crucial for monitoring the progress of orthodontic treatment and ensuring that surgical outcomes are being achieved as planned.

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