Is pre-authorization required for D0368?

Pre-authorization may be required by some insurance providers. It is advisable to check with the patient's insurance to confirm coverage.

Can D0368 be used for single exposure CBCT scans?

No, D0368 is intended for TMJ series with two or more exposures. Single exposure scans would require a different code.

Are there any patient conditions that contraindicate the use of D0368?

Patients with severe claustrophobia or those unable to remain still during the procedure may require alternative imaging methods.

How should the interpretation of the CBCT be documented?

The interpretation should be documented in a detailed report by a qualified professional, outlining findings and clinical implications.

D0368

TMJ Cone Beam CT Series - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0368 refers to the cone beam computed tomography (CBCT) capture and interpretation specifically for a temporomandibular joint (TMJ) series, which includes two or more exposures. This diagnostic procedure is crucial for providing detailed 3D images of the TMJ area, aiding in the assessment of joint disorders, structural abnormalities, and planning for surgical interventions. Dental professionals utilize this code when a comprehensive view of the TMJ is necessary, often in cases of suspected joint dysfunction or pre-surgical evaluations. The procedure involves capturing multiple CBCT images to ensure a thorough examination of the TMJ, allowing for accurate diagnosis and treatment planning.

When to Use This Code

Suspected TMJ disorders requiring detailed imaging
Pre-surgical evaluation for TMJ surgery
Assessment of TMJ structural abnormalities
Chronic pain in the jaw area with unclear etiology
Monitoring TMJ conditions over time

Documentation Requirements

Detailed patient history and symptoms related to TMJ
Clinical notes justifying the need for CBCT imaging
Interpretation report by a qualified professional
Number of exposures taken and their diagnostic relevance
Patient consent for imaging procedure
Insurance pre-authorization if required

Billing Considerations

When billing for D0368, it is important to note any frequency limitations imposed by insurance providers, as repeated imaging may not be covered. Common modifiers may include those indicating bilateral procedures if applicable. Ensure that the necessity for multiple exposures is clearly documented to avoid claim denials. Coordination with insurance for pre-authorization is recommended to confirm coverage.

Related CDT Codes

D0364 D0365 D0366 D0367 D0380

Frequently Asked Questions

D0368 specifically covers CBCT capture and interpretation for TMJ series with two or more exposures, focusing on detailed TMJ assessment.

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