D0364

Cone Beam CT Capture - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0364 refers to the procedure of capturing and interpreting a cone beam computed tomography (CBCT) scan with a limited field of view, covering less than one whole jaw. This diagnostic imaging technique is crucial for obtaining detailed 3D images of specific areas within the oral cavity, allowing for precise assessment and treatment planning. Dental professionals use this code when a comprehensive view of a particular section of the jaw is necessary, such as in cases of localized pathology, implant planning, or endodontic evaluation. The CBCT scan provides high-resolution images that aid in accurate diagnosis and effective treatment strategies.

When to Use This Code

  • Evaluating localized dental pathology or lesions
  • Planning for dental implants in a specific area
  • Assessing endodontic treatment needs in a limited region
  • Investigating temporomandibular joint disorders with a focused view
  • Monitoring the progression of localized periodontal disease

Documentation Requirements

  • Patient's medical and dental history
  • Clinical justification for the limited field of view CBCT
  • Detailed interpretation report of the CBCT findings
  • Date and time of the procedure
  • Provider's credentials and signature

Billing Considerations

When billing for D0364, ensure that the procedure is justified by clinical necessity and documented accordingly. Check with the patient's insurance for coverage specifics, as some plans may have limitations on the frequency of CBCT scans. Common modifiers include those for bilateral procedures or reduced services. It's important to verify if prior authorization is needed.

Related CDT Codes

Frequently Asked Questions

D0364 is specifically for a limited field of view, covering less than one whole jaw, whereas other codes may cover larger areas or full-mouth scans.

Source: CDT 2023 © American Dental Association

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