Can D0230 be used for panoramic images?

No, D0230 is specifically for intraoral periapical images, not panoramic images.

How many times can D0230 be billed in one visit?

D0230 can be billed for each additional periapical image taken, but check with the patient's insurance for any limitations.

Is patient consent required for additional radiographic images?

Yes, informed consent should be obtained, explaining the necessity and benefits of additional imaging.

Are there any risks associated with multiple periapical images?

While radiation exposure is minimal, it's important to justify the need for each additional image to minimize exposure.

D0230

Intraoral Periapical Image - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0230 refers to the intraoral periapical radiographic image, specifically for each additional image taken beyond the initial one. This diagnostic procedure is crucial for capturing detailed images of the teeth and surrounding bone structure, helping dentists identify issues such as tooth decay, bone loss, or infections. Typically, this code is used when multiple images are necessary to provide a comprehensive view of a patient's oral health, especially in complex cases where a single image is insufficient. Dental professionals rely on these images for accurate diagnosis and treatment planning.

When to Use This Code

When additional periapical images are needed to assess the extent of dental caries.
To evaluate the progression of periodontal disease in specific areas of the mouth.
When monitoring the healing process after dental surgery or root canal therapy.
In cases where initial radiographs reveal abnormalities requiring further investigation.
To assess the condition of the bone and surrounding tissues in preparation for dental implants.

Documentation Requirements

Record the number of additional images taken and their specific purpose.
Include detailed notes on the clinical findings that necessitated additional imaging.
Ensure images are stored in the patient's dental record with proper identification.
Document any patient symptoms or complaints that prompted further imaging.
Provide a clear interpretation of the radiographic findings in the patient's chart.

Billing Considerations

When billing for D0230, ensure that the primary image is billed separately using the appropriate code. Be aware of frequency limitations set by insurance providers, as excessive imaging may not be covered. Common modifiers include -22 for unusual circumstances. Verify with the patient's insurance for specific coverage details and any pre-authorization requirements.

Related CDT Codes

D0220 D0272 D0330 D0340

Frequently Asked Questions

D0220 is used for the first periapical image, while D0230 is for each additional image taken.

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.

Try CDT Code Lookup Browse All CDT Codes