Understanding D0230 Dental Code and X-Rays

What ADA CDT dental code is D0230?

D0230 is the ADA CDT dental code for additional peri-apical (PA) x-rays, which show the roots of a tooth. This code is used for each PA x-ray taken after the first PA is taken. The code description is officially “intraoral – periapical each additional radiographic image.”

Frequently Asked Questions About D0230 Dental Code

What procedure does D0230 refer to?

This code covers each additional periapical X-ray image taken after the first, used for further diagnostic detail on specific teeth or areas.

What are the documentation requirements and best practices for D0230?

Documentation should include a detailed interpretation of each additional image, notes on the areas examined, and any findings or treatment plans based on the X-rays.

What are the typical costs, reimbursement rates and guidelines for D0230?

Costs typically range from $15 to $40 per additional image, with reimbursement varying. This code is used for extended diagnostics and is covered under diagnostic benefits.

Are there any common errors or pitfalls to avoid with D0230?

Common pitfalls include overuse of additional images and inadequate documentation of the findings, leading to claim denials and potential issues with medical necessity.

How should D0230 be submitted on an insurance claim, and should a site be included?

Submit with the radiographic images and detailed interpretations. Specify the teeth or areas examined. Site-specific details are critical for targeted diagnostics.

Is D0230 often used with other codes, and how does it fit into the overall coding system?

Often used with codes like D0220 for initial periapical images and D0140 for problem-focused evaluations. It helps in providing detailed diagnostic information.

How can I verify patient eligibility and coverage for this procedure?

Verify eligibility by contacting the insurance provider to confirm coverage for additional radiographic images as part of extended diagnostics.

What are the ethical considerations and common fraud indicators associated with D0230?

Ensure all additional images are clinically justified and properly documented to avoid fraud. Avoid unnecessary X-rays and maintain thorough records.

What are the key differences between similar codes?

D0230 is for additional periapical images, while D0220 is for the first periapical image and D0210 is for a complete series. Use D0230 for extended diagnostics when more detail is needed.

Why was D0230 specifically used for my treatment, and are there alternative treatments with different codes and costs?

D0230 is used for further diagnostic detail on specific teeth. Alternatives include D0220 for initial periapical images or D0210 for a complete radiographic series, depending on the diagnostic needs.

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