Orthodontic Retention — Fixed Appliance (D8681) — National Rates

About D8681 — Orthodontic Retention — Fixed Appliance

D8681 refers to Orthodontic Retention using a fixed appliance, which is another method of maintaining tooth position post-treatment. This procedure is often recommended for patients who may not comply with removable retainers or require more stable retention. Clinical indications include the need for long-term retention in cases of significant tooth movement. When billing for this code, it is essential to document the rationale for using a fixed appliance, patient compliance issues, and any relevant clinical observations. The average reimbursement for D8681 is approximately $713, but this can vary widely based on the insurance plan, state regulations, and the specifics of the treatment contract.

Reimbursement rates for D8681 vary significantly by state, payor, and provider network. The national average negotiated rate is $713. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.