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

Description

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).

Policy/criteria

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.

Codes

CDT - see above

Disclaimer

Your use of this Dental Policy constitutes your agreement to be bound by and comply with the terms and conditions of the Dental Policy Disclaimer.