Comprehensive Guide to D0272 Dental Code and X-Rays

What ADA CDT dental code is D0272?

D0272 is the ADA CDT dental code for 2 bitewing (BW) x-rays, which show the upper and lower erupted crowns of teeth in the same area of the mouth. The code is officially known as “bitewings – two radiographic images.”

Frequently Asked Questions About D0272 Dental Code

What procedure does D0272 refer to?

This code covers two bitewing X-ray images, typically used to examine the interproximal spaces of the posterior teeth.

What are the documentation requirements and best practices for D0272?

Documentation should include detailed interpretations of both images, noting any cavities, bone loss, or other issues found in each.

What are the typical costs, reimbursement rates and guidelines for D0272?

Costs typically range from $30 to $70 for two images, with reimbursement varying. It is often covered under preventive or diagnostic benefits.

Are there any common errors or pitfalls to avoid with D0272?

Common pitfalls include poor-quality images and inadequate documentation of findings, leading to incomplete diagnosis and potential claim denials.

How should D0272 be submitted on an insurance claim, and should a site be included?

Submit with the radiographic images and detailed interpretations. No specific site details are typically required, but they may be beneficial for clarity.

Is D0272 often used with other codes, and how does it fit into the overall coding system?

Often used with preventive codes like D1110 for prophylaxis. It provides a broader view than a single image and is essential for routine exams and detecting cavities.

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

Verify eligibility by contacting the patient’s insurance provider to ensure coverage for diagnostic radiographic images.

What are the ethical considerations and common fraud indicators associated with D0272?

Maintain accurate and thorough records of the radiographic findings to avoid fraud. Ensure both images are necessary and clinically justified.

What are the key differences between similar codes?

D0272 is for two bitewing images, while D0270 is for a single image and D0274 is for four images. Use D0272 for a more comprehensive view of interproximal spaces.

Why was D0272 specifically used for my treatment, and are there alternative treatments with different codes and costs?

D0272 is used for assessing a wider area of interproximal spaces. Alternatives include D0270 for a single image or D0274 for a complete bitewing series, depending on the diagnostic needs.

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