D8670 Dental Code
Orthodontic treatment is a crucial aspect of dental care, ensuring proper alignment of teeth and jaw function. The D8670 dental code is specifically designated for periodic orthodontic treatment visits, which occur after the active phase of braces or aligners but before complete retention.
This code is essential for dental professionals and insurance providers to track and bill follow-up visits accurately. Unlike initial placement (D8010-D8999) or comprehensive treatment (D8080), D8670 focuses on monitoring progress, making minor adjustments, and ensuring long-term stability.
Understanding this code is vital for orthodontists, general dentists, and billing specialists to avoid claim denials and ensure proper patient care.
2. Understanding Orthodontic Treatment and Its Phases
Orthodontic treatment is divided into three main phases:
- Diagnostic Phase (Examination, X-rays, Treatment Planning)
- Active Phase (Braces, Aligners, Adjustments)
- Retention Phase (Post-Treatment Monitoring with D8670 Visits)
The D8670 code applies to the retention phase, where periodic check-ups ensure teeth remain in their corrected positions.
Why Retention is Critical
- Prevents relapse (teeth shifting back)
- Ensures long-term stability
- Allows for minor corrections if needed
3. When Is the D8670 Code Used?
The D8670 code is used for follow-up visits after active orthodontic treatment is completed. These visits typically include:
- Checking retainers
- Assessing tooth movement
- Minor wire adjustments
- Monitoring oral hygiene
Key Indicators for D8670 Billing
✅ Patient is in the retention phase
✅ No major adjustments are needed
✅ Visit is separate from comprehensive treatment
4. Key Differences Between D8670 and Other Orthodontic Codes
| Code | Description | When Used |
|---|---|---|
| D8080 | Comprehensive Orthodontic Treatment | Full braces/aligner treatment |
| D8670 | Periodic Orthodontic Visit | Retention phase check-ups |
| D8680 | Orthodontic Retention | Fitting and adjusting retainers |
D8670 vs. D8680:
- D8670 = Monitoring visits
- D8680 = Retainer placement/adjustment
5. Billing and Insurance Considerations for D8670
Insurance Coverage
- Some plans cover D8670 under “post-treatment care”
- Others may consider it part of the original treatment fee
- Always verify with the patient’s insurance provider
Common Billing Mistakes
❌ Using D8670 for active treatment adjustments
❌ Not documenting medical necessity
❌ Confusing D8670 with D8680
Pro Tip: Submit notes and X-rays to support claims.
6. Common Procedures Covered Under D8670
During a D8670 visit, orthodontists may:
- Inspect retainers for wear and fit
- Take progress photos/X-rays
- Perform minor wire bends
- Guide patients on retainer use
7. Frequency of Periodic Orthodontic Visits
- First 6 months: Every 4-8 weeks
- 6-12 months: Every 3 months
- After 1 year: Biannually
8. Patient Experience During a D8670 Visit
Patients should expect:
- A quick exam (15-30 minutes)
- Retainer checks
- Oral hygiene reminders
9. How Dentists Document D8670 Visits
Proper documentation includes:
- Progress notes
- Retainer condition
- Any minor adjustments made
10. Potential Challenges with D8670 Billing
- Insurance denials (if not properly justified)
- Patient confusion (thinking visits are unnecessary)
- Coding errors (using D8680 instead)
11. FAQs About D8670 Dental Code
Q1: Is D8670 covered by insurance?
A: It depends on the plan; some cover it under post-treatment care.
Q2: How often should D8670 visits occur?
A: Typically every 3-6 months during retention.
Q3: Can a general dentist bill D8670?
A: Yes, if they oversee orthodontic retention.
12. Conclusion
The D8670 dental code is essential for post-orthodontic care, ensuring teeth remain aligned after active treatment. Proper billing, documentation, and patient education help maximize insurance coverage and treatment success.
13. Additional Resources
