Understanding Dental Code D8702

When to Use D8702 dental code

The D8702 dental code is designated for the repair of a fixed retainer, including reattachment, specifically in the mandibular (lower) arch. This CDT code should be used when a patient presents with a bonded or fixed retainer that has become detached, broken, or otherwise compromised, but does not require full replacement. Common scenarios include debonding from one or more teeth, partial breakage, or when the retainer needs to be re-secured after orthodontic treatment. It is important not to confuse D8702 with codes for new retainer fabrication or repairs in the maxillary (upper) arch—those have separate designations. Always verify the location and type of repair before selecting this code.

Documentation and Clinical Scenarios

Proper documentation is essential for successful reimbursement and compliance. When using D8702, the clinical notes should clearly describe the condition of the retainer, the specific repair performed, and the teeth involved. Include pre- and post-repair intraoral photos, if possible, and document the patient’s symptoms or complaints leading to the repair. For example, note if the retainer was partially debonded from teeth #22 and #27, and describe the steps taken to clean, prepare, and reattach the retainer. Detailed documentation supports the medical necessity of the procedure and can be invaluable if the claim is questioned or denied.

Insurance Billing Tips

Billing for D8702 requires attention to detail to avoid denials and delays. Start by verifying the patient’s orthodontic benefits and any frequency limitations for retainer repairs. Submit a detailed narrative with your claim, outlining the reason for repair, the teeth involved, and the method used. Attach supporting documentation such as clinical notes and photos. If the payer requests additional information or issues a denial, be prepared to submit a claim appeal with further explanation and documentation. Keep track of EOBs (Explanation of Benefits) and monitor your AR (Accounts Receivable) to ensure timely follow-up on outstanding claims. Remember, successful dental offices proactively communicate with both patients and payers to clarify coverage and minimize surprises.

Example Case for D8702

Consider a patient who completed orthodontic treatment two years ago and returns with a complaint that their lower fixed retainer has become loose on one end. Upon examination, you find that the retainer is debonded from tooth #26 but otherwise intact. The clinical team cleans the area, prepares the enamel, and reattaches the retainer using appropriate bonding material. The procedure is documented with before-and-after photos, and a narrative is prepared for insurance submission. The claim is billed using D8702, with supporting documentation attached. The insurance company processes the claim, and the office receives reimbursement without delay due to thorough documentation and correct code usage.