A reliable dental billing outsourcing company in U.S., Outsource Strategies international (OSI) provides comprehensive dental billing services that covers everything from patient scheduling and insurance verification and authorization to billing, payment collections, and accounts receivable management. A proper dental billing process is important to make sure that you get paid on time.

October is National Orthodontic Health Month. In today’s podcast, Amber Darst, our Solutions Manager, discusses the importance of good oral health and the benefits of orthodontic treatment.

Hi, this is Amber Darst, Solutions Manager for Managed Outsource Solutions. 

October is National Orthodontic Health Month. This month is dedicated to raising awareness about the benefits of orthodontic treatment and the importance of good oral health. 

00:20 What is Orthodontics?

Orthodontics aims at improving the appearance of teeth, making it easier to clean the teeth and correcting them by straightening or removing the teeth. This form of dentistry is ideal for straightening crooked teeth, closing wide gaps between the teeth, improving speech or chewing ability and treating an improper bite. If these issues are left untreated, complications can result in a more serious oral health problem such as tooth decay, tooth loss, gum disease or even jaw problems. People consider these treatments for cosmetic purposes as well as to improve oral functions. 

AAO has reported that more than 1.6 million adults in North America are currently receiving orthodontic treatment from AAO orthodontists. Medical dental devices used for this treatment may include headgear, plates, braces, fixed or removable space maintainers, aligners, palatal expanders, retainers, splints and more. To assess the state of the person’s teeth, the orthodontist may carry out a clinical examination, take x-rays of the teeth, and jaw and make plaster models of the teeth.

01:38 Orthodontics Coding

Experienced dental billing companies can provide the challenging medical coding task, as they are up to date with the changing coding standards and insurance guidelines. It is important to include the correct CDT, ICD, HCPCS and CPT codes on claims as any coding errors could lead to claim denials. For most insurers, severe malocclusion requires prior authorization, while a cleft palate requires expedited authorization (EPA).

For a full list of codes that are associated with this podcast, please refer to the attached article

ICD-10 and CDT codes related to orthodontic treatments

CDT

  • 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
  • D8050 Interceptive Orthodontic treatment of the Primary Dentition
  • D8060 Interceptive Orthodontic treatment of the Transitional Dentition
  • D8070-Comprehensive orthodontic treatment of the transitional dentition
  • D8090-Comprehensive orthodontic treatment of the adult dentition
  • D8210 Removable appliance therapy
  • D8220 Fixed appliance therapy
  • 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

ICD-10

  • K00.0 Anodontia (missing teeth)
  • K00.1 Hyperdontia (supernumerary teeth)
  • K00.2 Abnormalities of size and form
  • K00.3 Mottled teeth
  • K00.4 Disturbances of tooth formation
  • K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
  • K00.6 Disturbance of tooth eruption
  • K00.8 Other specified disorder of tooth development and eruption
  • K00.9 Unspecified disorder of tooth development and eruption
  • K05.20 Aggressive gingivitis, plaque induced
  • K05.21 Aggressive gingivitis, non-plaque induced
  • K05.22 Aggressive gingivitis, generalized
  • K05.30 Chronic periodontitis, unspecified
  • K05.31 Chronic periodontitis, localized
  • K05.32 Chronic periodontitis, generalized

And that's all for now. Thanks for listening in.