Tongue Thrust Therapy

Policy No: 67
Originally Created: 09/01/1997
Section: Miscellaneous
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018


The use of special techniques to correct the anterior tongue position, also called tongue thrust, and its associated problems (i.e., open bite, protrusion of incisors and lisping).


Procedure is in accordance with generally accepted standards of dental practice.

Administrative guidelines

Process to contract benefits.

  • Appliances for habit breaking of tongue thrust - Process to the orthodontia benefit. Procedure codes D8210 & D8220.
  • Appliances for speech therapy as a result of tongue thrust - Process to the medical benefit CPT code 21084.


CDT - see above


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