How often should bitewing radiographs be taken?

Frequency depends on the patient's oral health status and risk factors for dental disease, but typically once a year during routine exams.

Are bitewing radiographs safe for children?

Yes, bitewing radiographs are safe for children and are often used to monitor dental development and detect cavities early.

Can bitewing radiographs detect gum disease?

Bitewing radiographs can help assess bone levels and detect signs of gum disease, but they are primarily used for detecting cavities.

Is a bitewing radiograph necessary if there are no symptoms?

Yes, bitewing radiographs are a preventive measure to detect issues that may not be visible during a visual exam, ensuring early intervention.

D0270

Bitewing Single Radiographic Image - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT Code D0270 refers to a bitewing single radiographic image, a diagnostic tool used in dentistry to capture a detailed image of a patient's teeth. This procedure is essential for identifying cavities between teeth, assessing bone levels, and detecting other dental issues that are not visible during a standard visual examination. Typically, a bitewing radiograph is taken during routine dental check-ups to monitor oral health and diagnose potential problems early. The image captures the crowns of the upper and lower teeth simultaneously, providing a comprehensive view that aids in accurate diagnosis and treatment planning.

When to Use This Code

During routine dental check-ups to assess for interproximal caries.
When a patient presents with symptoms of tooth decay or gum disease.
To evaluate the integrity of existing dental restorations.
For monitoring periodontal bone levels over time.
When a patient has a history of dental caries and requires regular monitoring.

Documentation Requirements

Patient's consent for radiographic imaging.
Clinical notes indicating the reason for the radiographic examination.
Date and time of the radiographic procedure.
Interpretation of the radiographic findings by the dentist.
Documentation of any follow-up actions or treatment plans based on the radiographic findings.

Billing Considerations

Bitewing radiographs like D0270 are typically covered by dental insurance plans during routine exams, often limited to once or twice a year depending on the policy. It's important to check the patient's insurance coverage for frequency limitations. Common modifiers may include those indicating the specific quadrant imaged. Ensure accurate documentation to avoid claim denials.

Related CDT Codes

D0272 D0274 D0330 D0210 D0220

Frequently Asked Questions

A bitewing radiograph captures the crowns of the upper and lower teeth in one image, focusing on interproximal areas, while a periapical radiograph shows the entire tooth from crown to root.

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