Is D0372 covered by most dental insurance plans?

Coverage for D0372 varies by insurance plan. It's important to check with the patient's provider to confirm coverage for advanced imaging procedures.

How often can D0372 be performed on a patient?

The frequency of D0372 is typically determined by clinical necessity and insurance guidelines. It's essential to document the need for repeated imaging clearly.

Can D0372 be used for orthodontic assessments?

Yes, D0372 can be very useful in orthodontic assessments, providing detailed images that assist in treatment planning and monitoring.

What should be included in the interpretation of the images?

The interpretation should include an analysis of the crowns, roots, periapical areas, interproximal areas, and alveolar bone, noting any abnormalities or areas of concern.

D0372

Intraoral Tomosynthesis Series - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT Code D0372 refers to an intraoral tomosynthesis comprehensive series of radiographic images. This diagnostic procedure involves capturing a detailed radiographic survey of the entire mouth. It is designed to display the crowns and roots of all teeth, periapical areas, interproximal areas, and alveolar bone, including edentulous areas. This imaging technique provides a three-dimensional view, enhancing the diagnostic capabilities for dental professionals by offering more detailed insights compared to traditional two-dimensional radiographs. Typically, this procedure is used in comprehensive dental evaluations, treatment planning, and monitoring of oral health conditions. It is particularly useful in cases where detailed imaging is crucial for accurate diagnosis and treatment planning.

When to Use This Code

For comprehensive dental evaluations requiring detailed imaging
When assessing complex cases involving multiple dental issues
To monitor changes in oral health over time, especially in patients with a history of periodontal disease
In preparation for extensive dental procedures such as implants or orthodontics
When traditional radiographs do not provide sufficient detail

Documentation Requirements

Detailed patient history and clinical indications for the procedure
Clear documentation of the need for comprehensive imaging
Radiographic images must be labeled and stored in the patient's record
Interpretation of the images by a qualified dental professional
Documentation of findings and any subsequent treatment plans
Compliance with HIPAA and other relevant privacy regulations

Billing Considerations

When billing for D0372, it's important to verify the patient's insurance coverage for advanced imaging techniques, as not all plans may cover this procedure. Frequency limitations may apply, so ensure that the procedure is justified by clinical necessity. Common modifiers may include those indicating the need for additional views or interpretations. Coordination with insurance providers is recommended to confirm coverage details and avoid unexpected costs for the patient.

Related CDT Codes

D0150 D0180 D0210 D0220 D0230

Frequently Asked Questions

Intraoral tomosynthesis provides a three-dimensional view, offering more detailed and accurate imaging compared to traditional two-dimensional X-rays.

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