Is D0802 covered by most dental insurance plans?

Coverage varies by plan, so it's important to verify with the patient's insurance provider regarding specific coverage and requirements.

How does a 3D dental surface scan differ from traditional X-rays?

Unlike traditional X-rays, a 3D surface scan provides a detailed three-dimensional view of the dental structures, offering more comprehensive data for analysis.

Can D0802 be used for orthodontic treatment planning?

Yes, it is particularly useful in orthodontic cases where detailed surface mapping is necessary for precise treatment planning.

What should be included in the documentation for D0802?

Include patient records, clinical notes, the diagnostic cast, interpretation report, informed consent, and billing records.

D0802

3D Dental Surface Indirect Scan - CDT Code Guide

Diagnostic/Image Capture with Interpretation

Overview

CDT code D0802 refers to a 3D dental surface indirect scan, which involves capturing a three-dimensional image of a diagnostic cast. This procedure is essential for obtaining detailed surface data that can aid in the diagnosis and treatment planning of various dental conditions. The scan provides a comprehensive view of the dental structures, allowing for precise analysis and interpretation. Typically, this procedure is used in scenarios where traditional two-dimensional imaging may not provide sufficient detail, such as in complex restorative cases or when assessing intricate anatomical features. Dental professionals utilize this advanced imaging technique to enhance diagnostic accuracy and improve patient outcomes.

When to Use This Code

When a detailed analysis of a diagnostic cast is required
In complex restorative cases needing precise surface data
For assessing intricate anatomical features not visible in 2D images
When planning orthodontic treatments requiring detailed surface mapping
In cases where traditional imaging fails to provide sufficient detail

Documentation Requirements

Detailed patient records indicating the necessity of the scan
Clinical notes justifying the use of 3D imaging over traditional methods
A copy of the diagnostic cast used for the scan
Interpretation report of the scan results
Documentation of informed consent from the patient
Billing records showing the date and provider of the service

Billing Considerations

When billing for D0802, ensure that the procedure is justified by clinical necessity and properly documented. Be aware of any frequency limitations imposed by insurance providers, and consider using appropriate modifiers if the scan is part of a larger treatment plan. Verify with the patient's insurance for coverage details, as some plans may have specific requirements or restrictions for 3D imaging services.

Related CDT Codes

D0150 D0180 D0350 D0365 D0367

Frequently Asked Questions

The primary purpose is to capture detailed surface data of a diagnostic cast for accurate diagnosis and treatment planning.

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