Is D0250 covered by most dental insurance plans?

Coverage for D0250 varies by insurance plan. It's important to verify with the patient's insurance provider to understand coverage specifics and any pre-authorization requirements.

Can D0250 be used for routine dental check-ups?

D0250 is not typically used for routine check-ups; it is reserved for cases where detailed craniofacial imaging is clinically necessary.

How should the images obtained under D0250 be stored?

Images should be stored securely in the patient's dental record, following HIPAA guidelines to ensure patient privacy and data protection.

Are there any contraindications for using D0250?

Contraindications may include pregnancy unless the benefits outweigh the risks. Always assess the necessity and safety of the procedure for each patient.

D0250

Extra-Oral 2D Radiographic Image - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0250 refers to the capture of extra-oral 2D projection radiographic images using a stationary radiation source and detector. These images are crucial for diagnosing and planning treatment for various dental and craniofacial conditions. The procedure involves positioning the patient and the equipment to capture detailed images of the skull and jaw areas, which include views such as Lateral Skull, Posterior-Anterior Skull, and others. This code is typically used in scenarios where detailed visualization of the craniofacial structure is necessary, such as in orthodontic assessments, surgical planning, or trauma evaluation. Dental professionals rely on these images to make informed decisions about patient care and treatment plans.

When to Use This Code

Orthodontic assessments requiring detailed craniofacial imaging
Pre-surgical planning for maxillofacial surgery
Evaluation of facial trauma or injury
Assessment of developmental anomalies in the craniofacial region
Monitoring of conditions affecting the skull and jaw

Documentation Requirements

Detailed patient history and clinical indications for the radiograph
Description of the specific views captured (e.g., Lateral Skull, Waters)
Interpretation of the radiographic findings by a qualified professional
Date and time of the procedure
Patient consent for radiographic imaging
Record of the equipment and settings used during the procedure

Billing Considerations

When billing for D0250, ensure that the procedure is justified by clinical necessity and documented appropriately. Be aware of any frequency limitations imposed by insurance providers, as repeated imaging may require additional justification. Common modifiers may include those indicating the need for multiple images or specific patient conditions. Verify coverage with the patient's insurance to avoid unexpected costs.

Related CDT Codes

D0210 D0330 D0340 D0364 D0380

Frequently Asked Questions

Conditions such as orthodontic alignment issues, facial trauma, and craniofacial developmental anomalies often require detailed extra-oral imaging.

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