D0389

Intraoral Tomosynthesis - CDT Code Guide

Diagnostic/Image Capture Only

Overview

CDT Code D0389 refers to the intraoral tomosynthesis periapical radiographic image capture. This diagnostic procedure involves capturing detailed images of the teeth and surrounding structures using advanced tomosynthesis technology. Unlike traditional X-rays, this method provides a layered, three-dimensional view, which can be particularly useful for diagnosing complex dental conditions. Dental professionals utilize this technique to gain a clearer understanding of periapical issues, aiding in more accurate diagnosis and treatment planning. Typically, this procedure is employed when standard radiographs do not provide sufficient detail, especially in cases of suspected root fractures or intricate root canal systems.

When to Use This Code

  • Suspected root fractures where traditional X-rays are inconclusive
  • Complex root canal systems requiring detailed imaging
  • Assessment of periapical lesions with unclear boundaries
  • Pre-surgical planning for dental implants
  • Evaluating the extent of periodontal disease

Documentation Requirements

  • Patient's full name and identification number
  • Date of the procedure
  • Clinical indication for the tomosynthesis
  • Detailed report of findings from the image capture
  • Dentist's signature and credentials
  • Insurance information if applicable

Billing Considerations

When billing for D0389, it is important to note that this code is used for image capture only and does not include interpretation. Ensure to check with the patient's insurance for coverage details, as some plans may not cover advanced imaging techniques. Frequency limitations may apply, and it is advisable to use appropriate modifiers if the procedure is part of a larger treatment plan.

Related CDT Codes

Frequently Asked Questions

D0389 involves tomosynthesis, providing a 3D view, unlike traditional 2D X-rays, offering more detailed imaging.

Source: CDT 2023 © American Dental Association

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