Comprehensive Guide to D0277 Dental Code and X-Rays

What ADA CDT dental code is D0277?

D0277 is the ADA CDT dental code for vertical bitewing x-rays (7 or 8 films), which show the upper and lower teeth in same area of mouth. The code is officially known as “vertical bitewings – 7 to 8 radiographic images.”

Frequently Asked Questions About D0277 Dental Code

What procedure does D0277 refer to?

This code refers to seven to eight vertical bitewing X-ray images, providing a detailed view of interproximal spaces and bone levels for both anterior and posterior teeth.

What are the documentation requirements and best practices for D0277?

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

What are the typical costs, reimbursement rates and guidelines for D0277?

Costs typically range from $70 to $150 for seven to eight images, with reimbursement varying. It is often covered under preventive or diagnostic benefits.

Are there any common errors or pitfalls to avoid with D0277?

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

How should D0277 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 D0277 often used with other codes, and how does it fit into the overall coding system?

Often used with comprehensive exam codes like D0150 and periodontal codes like D0180. It provides an extensive view of interproximal spaces and bone levels, essential for thorough diagnostics.

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 D0277?

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

What are the key differences between similar codes?

D0277 is for vertical bitewings with seven to eight images, while D0270 to D0274 are for fewer images. Use D0277 for the most comprehensive diagnostic view of interproximal spaces and bone levels.

Why was D0277 specifically used for my treatment, and are there alternative treatments with different codes and costs?

D0277 is used for a comprehensive assessment of interproximal spaces and bone levels. Alternatives include D0270 for a single image, D0272 for two images, D0273 for three images, or D0274 for four images, depending on the diagnostic needs.

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