As you may know, October 1st 2022 brings about 3 sets of significant changes to the information included on NHS England claims dated on or after that date.
This document deals with change notification CCN52, specifically:
New Orthodontic Assess & Debond (Overseas patients) Assessment Type
Overview:
Overview of Change:
There has been an increase in both adults and children, arriving from abroad and more recently under the Afghani evacuee and Ukraine government sponsorship schemes, with a fixed or removable orthodontic appliance in situ. As a result a new treatment item is required – Orthodontic Assessment and Debond - Overseas Patient. This will be identified by new treatment code 9016.
It will only be acceptable on English FP17O claims that have a Date of Assessment on or after 01/10/22 and which are for patients fully exempt from dental charges or who are in receipt of full remission of dental charges.
In order to be accepted there must be no previous history of orthodontic work carried out under the NHS.
Upon successful validation of an Assess and Debond claim, 1 UOA will be awarded.
How this will work in Dentally:
When submitting an Orthodontic Type 1 Assessment claim with an Assessment date on or after 01/10/2022, a new option in the Assessment Type selection will be available for 'Assess and Debond (Overseas Patient)'.
The claim will send the required Assessment code, requesting 1 UOA and is subject to the following mandatory requirements:
The Assessment date must be on or after 01/10/2022
An IOTN must be present with value 0 - 5
A date of Referral is mandatory
The patient must have a full valid exemption (HC3 partial remission is not sufficient)