D0220

Intraoral Periapical Image - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0220 refers to the intraoral periapical first radiographic image, a diagnostic tool used by dental professionals to capture detailed images of a specific area within the mouth. This procedure involves placing a small film or digital sensor inside the patient's mouth to obtain a clear image of the tooth and surrounding bone structure. It is typically used to diagnose issues such as tooth decay, bone loss, or other abnormalities that are not visible during a regular examination. The periapical image is crucial for developing a comprehensive treatment plan and ensuring accurate diagnosis.

When to Use This Code

  • Evaluating unexplained tooth pain or sensitivity
  • Assessing the extent of dental caries or decay
  • Monitoring the health of the bone structure around a tooth
  • Planning for endodontic treatment or root canal
  • Checking the status of a previously treated tooth

Documentation Requirements

  • Patient's full name and date of birth
  • Date of the radiographic image capture
  • Clear indication of the clinical necessity for the image
  • Interpretation of the radiographic findings
  • Dentist's signature and credentials
  • Storage of the image in the patient's dental record

Billing Considerations

When billing for D0220, it is important to note that this code is typically used for the first radiographic image in a series. Additional images may require different codes. Frequency limitations may apply based on the patient's insurance plan, and it is advisable to verify coverage prior to performing the procedure. Common modifiers include those indicating the specific quadrant or tooth. Always check with the patient's insurance provider for specific billing guidelines.

Related CDT Codes

Frequently Asked Questions

D0220 is used for the first periapical radiographic image, while D0230 is used for each additional periapical image taken during the same visit.

Source: CDT 2023 © American Dental Association

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