Processing Policy Changes Effective 1-1-19

December 18, 2018

D8660 Pre-orthodontic treatment examination to monitor growth and development – This procedure code is not a benefit for patients with orthodontic history. A “pre” orthodontic visit must be performed on a date preceding orthodontic banding or delivery of aligners. Fees for D8660 submitted on the same date of service as D8070, D8080 or D8090 are not billable to the patient.

Explanation: A “pre” orthodontic visit must be performed on a date preceding orthodontic banding or delivery of aligners.

Evaluations – age limitation changes – D0145 oral evaluation for a patient under three years of age and counseling with primary caregiver.

The following codes are for patients ages 3 years and older:

  • D0150 (comprehensive oral evaluation – new or established patient)
  • D0160 (detailed and extensive oral evaluation – problem focused, by report)
  • D0180 (comprehensive periodontal evaluation – new or established patient)

Claims will be processed based upon the appropriate evaluation code according to age. D0120 (periodic oral evaluation – established patient) remain valid for ages 0-99.