D8660 - Pre-Ortho Exam
Pre-orthodontic treatment examination.
- Procedure Code
- D8660
- Clinical Category
- Orthodontics
- Primary ICD-10 Justification
- See mapped diagnoses below
- Reference Fee & Claim Types
- DENTAL
Insurance Verification Benchmarks & Billing Guidelines
Payer policy benchmarks, pre-submission attachment requirements, and denial prevention rules for D8660.
- Frequency Limitation
- Subject to group/individual contract frequency limitations (none)
Required Claim Attachments & Pre-Submission Checklist
- Standard ADA claim form with CDT procedure code and date of service
Bill When (Allowable Clinical Criteria)
- Indicated for medically and clinically necessary treatment as documented in patient's dental record.
Restrictions & Clinical Exclusions
- Benefits are denied for patients with orthodontic treatment history.
- Fees for D8660 are not billable to the patient with any other oral evaluation (D0120 – D0180).
- D8660 is included in the oral evaluation frequency limits.
- Fees for D8660 are not billable to the patient when submitted with D8070, D8080, D8090.
- All services and treatment provided remotely via tele-health modalities, be they synchronous or asynchronous, must be performed by a licensed dentist or their supervised staff, acting within the scope of applicable law. Services and treatment delivered virtually are only a benefit when the elements included in the descriptor of the CDT procedure code are completed and only when they meet generally accepted clinical guidelines.
- Fees for final orthodontic records (images, photos, and models) are included in the treatment and not billable to the patient.
Common Claim Denial Codes & Overturn Strategies
| Denial Code | Denial Reason | Appeal & Overturn Strategy |
|---|---|---|
| CO-119 | Benefit maximum or frequency limitation exceeded for procedure | Submit clinical narrative detailing extraordinary circumstances, active recurrent pathology, or exception criteria. |
ICD-10-CM Justification & Crosswalk Mappings for D8660 (0)
Click any ICD-10-CM diagnosis code below to inspect its reverse procedure mappings and differential coding guide.
No direct ICD-10 mappings recorded for D8660.
Frequently Asked Questions — D8660 (Pre-Ortho Exam)
Quick answers for dental billers and treatment coordinators submitting claims for D8660.
What ICD-10 diagnosis codes link to dental procedure D8660?▾
Currently no specific ICD-10 crosswalk mappings recorded for CDT D8660.
Can CDT code D8660 be billed to medical insurance?▾
Billing CDT D8660 (Pre-Ortho Exam) to medical insurance depends on the underlying clinical necessity and trauma/pathology documentation. Supported claim types across linked diagnoses: DENTAL.
What attachments and documentation are required for billing CDT D8660?▾
Required claim attachments for CDT D8660 (Pre-Ortho Exam) include: Standard ADA claim form with CDT procedure code and date of service.
What is the insurance frequency limitation for CDT D8660?▾
Standard commercial insurance frequency for D8660: Subject to group/individual contract frequency limitations (none).
What are common insurance denial reasons and appeal tips for CDT D8660?▾
Denial Code CO-119 (Benefit maximum or frequency limitation exceeded for procedure): Overturn appeal strategy - Submit clinical narrative detailing extraordinary circumstances, active recurrent pathology, or exception criteria.