D0381

Cone Beam CT Image Capture - CDT Code Guide

Diagnostic/Image Capture Only

Overview

CDT Code D0381 refers to the cone beam CT image capture with a field of view covering one full dental arch of the mandible. This diagnostic procedure is crucial for obtaining detailed 3D images of the lower jaw, providing comprehensive views that aid in accurate diagnosis and treatment planning. Typically used in scenarios where precise imaging is necessary, such as evaluating complex dental conditions, planning for implants, or assessing the impact of trauma, this procedure allows dental professionals to visualize the bone structure and surrounding tissues in great detail. The use of cone beam CT technology enhances the ability to diagnose conditions that may not be visible through traditional 2D imaging methods.

When to Use This Code

  • Evaluating the mandible for implant placement
  • Assessing the extent of mandibular fractures
  • Diagnosing complex dental conditions involving the lower jaw
  • Planning for orthodontic treatment involving the mandible
  • Evaluating the impact of cysts or tumors in the mandibular region

Documentation Requirements

  • Detailed patient history and clinical indications for the CT scan
  • Written order from a licensed dental professional
  • Consent form signed by the patient
  • Radiographic interpretation report
  • Documentation of the specific area imaged and the field of view

Billing Considerations

When billing for D0381, ensure that the procedure is justified by clinical necessity and documented accordingly. Be aware of frequency limitations set by insurance providers, as repeated imaging may not be covered without proper justification. Common modifiers might include those indicating the specific quadrant imaged or any additional procedures performed concurrently. Verify with the patient's insurance for coverage specifics and any pre-authorization requirements.

Related CDT Codes

Frequently Asked Questions

The primary purpose is to obtain detailed 3D images of the mandible for accurate diagnosis and treatment planning, especially in complex cases.

Source: CDT 2023 © American Dental Association

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