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Tx Sequence for Myoaligner®

In order to help you understand the circumstances of your jaw alignment treatment ­­process with Functional Segmented Orthotics, we have made an estimated list of appointments that are generally needed. Please understand that each case is different, and the following is not a definite treatment sequence. Your dental treatment is a collaboration between you and your dentist. There may be unanticipated and necessary changes, such as additions and deletions, to the accepted treatment plans once it has been initiated.



Appointment #1 (60 min)


CodeAppointment #1 (60 min)
99203

TMJ Extensive Exam (signs/symptoms)

99070

Review medical/Dental History

99070

Diagnostic Impressions (Digital or Physical
Diagnostic photos (Postural, Facial, Intra-oral)

Review treatment options

Referrals




Appointment #2  (60-90 min)


CodeAppointment #2  (60-90 min)
70486CT Maxilla facial without Contrast 
95868Electromyography EMG
76066 Sonography
97750 

Computerized Jaw Tracking

Scan/EMG interpretation

E0720

ULF- TENS Therapy

Myobite registration




Appointment #3 (60 min)


CodeAppointment #3 (60 min)
E0720 ULF- TENS Therapy(20-40min)
21299 Deliver Myoaligner Appliance
97700 Adjustment/Equilibration




Appointment #4 (60 min, 1 week post-op)


Code
Appointment #4 (60 min, 1 week post-op)
E0720 ULF- TENS Therapy(20-40min)
97700 

Adjustment/Equilibration




Appointment #5 (60 min,1 month post-op)


Code
Appointment #5 (60 min,1 month post-op)
E0720 

ULF- TENS Therapy(20-40min)

97700 
Adjustment/Equilibration





Appointment #6 (60 min, 3 month post-op) 


Code
Appointment #6 (60 min, 3 month post-op) 
E0720 
ULF- TENS Therapy(20-40min)
97700 
Adjustment/Equilibration
99203 

TMJ Extensive Exam (post treatment Signs/Symptoms)

 Review of Phase 2 treatment options 




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