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19.18.4 Premature Removal of Appliances
The overall fee for orthodontic treatment (D8080) includes the removal of orthodontic brackets and/or treatment appliances. Procedure code D7997 may be used only when the appliances were placed by a different provider with an unaffiliated practice (not a partner or office-sharing arrangement) and one of the following conditions exist:
• There is documentation of a lack of cooperation from the client.
•The client requests premature removal and a release form has been signed by the parent, guardian, or client if he is at least 18 years of age.
Providers must keep a copy of the release form on file and are responsible for this documentation during a review process.
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