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The Regence Group Dental Policy
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Miscellaneous Section - Tongue Thrust Therapy

Topic: Tongue Thrust Therapy Last Reviewed Date:  01/2003
Section: Miscellaneous Policy No: 67
Revised/Effective Date: 01/2003 Next Review Date: 01/2004

IMPORTANT INFORMATION
This Dental Policy has been developed through consideration of generally accepted standards of dental practice, review of dental literature, dental necessity, and as appropriate, government approval.

Benefit determinations should be based in all cases on the applicable contract language. To the extent there are any conflicts between these guidelines and the contract language, the contract language will control.

The purpose of dental policy is to provide a guide to coverage. Dental policy is not intended to dictate to providers how to practice dentistry. Providers are expected to exercise their clinical judgment in providing the most appropriate care.


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.
  • Appliances for speech therapy as a result of tongue thrust - Process to the medical benefit.
Codes Number Description
CDT
  See above

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