iTero Intraoral Scans and CDT Codes: What Dental Professionals Need to Know
Digital dentistry has transformed how we diagnose, plan, and execute treatments. Among the most revolutionary tools in this digital evolution is the iTero intraoral scanner—a device that creates precise 3D images of oral structures with remarkable accuracy. But with innovation comes the challenge of properly documenting and billing for these services. So what CDT code should you use for iTero scans? Let’s dive in.
The 2023 CDT Code Revolution
If you’ve been using code D0351 (3D photographic image) or D0470 (diagnostic casts) for your digital impressions, it’s time for an update. In 2023, the American Dental Association (ADA) introduced four new codes to better reflect our digital workflows:
- D0801: 3D intraoral dental surface scan – direct
- D0802: 3D dental surface scan – indirect
- D0803: 3D facial surface scan – direct
- D0804: 3D facial surface scan – indirect
What’s the difference? “Direct” means you’re scanning the patient, while “indirect” refers to scanning models or casts. For iTero intraoral scans, D0801 is now the gold standard.
Which Code for Which Scan?
Your code selection depends on what you’re scanning:
- Scanning teeth and gums for Invisalign? Use D0801.
- Scanning a physical model you created? That’s D0802.
- Capturing facial features for treatment planning? You’ll need D0803.
Remember, the focus is on what you’re scanning, not how the scanner physically operates.
Practical Applications in Your Practice
For Orthodontic Treatments
When using iTero for clear aligner therapy like Invisalign, D0801 is your go-to code. While some practices have historically used D0470 for virtual models, the 2023 update prioritizes D0801 for direct digital impressions.
For Restorative Treatments
For crown preparations, implant planning, or removable prosthetics, D0801 captures the direct intraoral scan. The iTero Lumina™ Pro system’s advanced features like Near Infra-Red Imaging (NIRI) for caries detection don’t change the coding—you’re still performing a direct intraoral scan.
Getting Reimbursed: The Reality Check
Here’s where things get tricky. While D0801 is officially recognized by the ADA, reimbursement varies widely by insurer. Some considerations:
- Some insurance plans consider 3D scans inclusive to restorative procedures (like D2740 for crowns) and won’t pay separately
- Orthodontic applications tend to have better reimbursement rates for D0801
- Always verify coverage before performing scans for non-orthodontic cases
Documentation That Gets Results
To maximize your chances of reimbursement, be specific in your documentation:
- State the scan’s purpose clearly (e.g., “3D intraoral scan for crown preparation on tooth #19”)
- Maintain digital files for potential audit
- Document how the scan directly contributed to treatment planning
Best Practices for Your Digital Workflow
- Verify insurance coverage for D0801 before scanning
- For multiple treatment plans using the same scan, bill D0801 only once per session
- Share D0801 scans with labs via platforms like exocad™ to streamline your workflow
- Avoid billing D0801 when the scan is considered part of another procedure
- Don’t miss opportunities to bill D0801 for medically necessary scans
What’s Next for Digital Impression Coding?
As digital dentistry continues to evolve, we can expect:
- Broader insurer recognition of D0801
- Development of AI-driven coding tools to automate claim accuracy
- Further code refinement as technology advances
The Bottom Line
For iTero intraoral scans, D0801 is now the definitive code. By aligning your documentation with current standards and understanding insurer-specific policies, you can maximize both clinical efficiency and revenue potential.
Have you updated your billing practices for iTero scans? What challenges are you facing with reimbursement? Share your experiences in the comments below!
Dr. Kirti Parashar is a Prosthodontist practicing in India. With over 13 years of experience integrating digital workflows into clinical practice, She helps dental professionals navigate the evolving landscape of technology, coding, and reimbursement.
