Negotiated reimbursement rates for D8680 across 27 states, sourced from CMS Transparency in Coverage data. 142 rate records.
D8680 pertains to Orthodontic Retention using a removable appliance, which is a critical phase following active orthodontic treatment. This procedure involves the use of a removable retainer to maintain the corrected position of teeth after braces have been removed. Clinical indications for this code include the need for retention to prevent relapse of tooth movement. Documentation should include details about the type of appliance provided, patient compliance, and any follow-up appointments. Reimbursement for D8680 averages around $396, but it can differ by payor and state, with some plans offering full coverage while others may impose limits or require patient cost-sharing.
Reimbursement rates for D8680 vary significantly by state, payor, and provider network. The national average negotiated rate is $396. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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