Audience
Zip code - drawer
County - drawer

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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

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