Are bitewing X-rays safe for children?

Yes, bitewing X-rays are safe for children and are an important tool for detecting cavities and monitoring dental development.

Can D0273 be used for patients with dental restorations?

Yes, D0273 is often used to evaluate the condition of existing dental restorations and to check for decay around them.

What should be documented when using D0273?

Document the clinical reason for the X-rays, the interpretation of the images, and any findings that influence the treatment plan.

Is prior authorization required for D0273?

Prior authorization requirements vary by insurance plan. It's important to verify with the patient's insurance provider before proceeding.

D0273

Bitewings Three Radiographic Images - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0273 refers to the capture of three bitewing radiographic images, a diagnostic procedure commonly used in dentistry to evaluate the interproximal areas of the teeth for decay, bone loss, and other dental issues. This procedure involves taking three separate X-ray images that focus on the upper and lower teeth in the back of the mouth, providing a comprehensive view of the molars and premolars. Bitewing X-rays are essential in detecting cavities between teeth and assessing the bone level around the teeth, which is crucial for diagnosing periodontal disease. Typically, this procedure is part of a routine dental check-up and is recommended every 12 to 24 months, depending on the patient's oral health status and risk factors.

When to Use This Code

Routine dental check-up for adults and children to detect interproximal decay
Assessment of periodontal bone levels in patients with a history of gum disease
Evaluation of existing dental restorations for potential issues
Monitoring of dental health in patients with a high risk of cavities
Pre-treatment assessment before orthodontic procedures

Documentation Requirements

Patient's dental and medical history
Clinical notes indicating the reason for the radiographic examination
Detailed interpretation of the radiographic findings
Date and type of radiographic images taken
Dentist's signature or electronic approval on the radiographic report

Billing Considerations

When billing for D0273, it is important to note that many insurance plans cover bitewing X-rays once every 12 to 24 months, depending on the patient's risk factors and policy details. Common modifiers may include those indicating the necessity of additional images due to clinical findings. Ensure that the patient's insurance plan is verified for coverage specifics, as some plans may have frequency limitations or require prior authorization.

Related CDT Codes

D0272 D0274 D0330 D0220 D0230

Frequently Asked Questions

Bitewing X-rays are typically recommended every 12 to 24 months, but the frequency may vary based on the patient's oral health and risk factors.

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