What ADA CDT Dental Code is D0210?
The D0210 dental code is used for a complete series of intraoral radiographic images, also known as a “full mouth series” (FMX). This series provides a comprehensive set of X-rays that captures detailed images of all the teeth, roots, and surrounding bone structure. It is typically used for new patients or for ongoing monitoring of dental health.
What Procedure Does D0210 Refer To?
The D0210 code covers a complete intraoral X-ray series, generally including periapical and bitewing X-rays, that captures each tooth and the surrounding bone structures in detail. It is commonly used for diagnostic purposes to identify decay, infection, bone loss, and other dental issues.
Documentation Requirements and Best Practices
- Document the clinical indication for a complete radiographic series.
- Record any findings from the radiographic images, such as decay, bone loss, or abnormalities.
- Include patient consent for the radiographic procedure in the records.
- Keep radiographic images and any interpretation notes in the patient’s electronic health record (EHR).
- Note any previous imaging if relevant to the diagnosis and treatment plan.
How to Verify Patient Eligibility and Coverage
Confirm with the patient’s insurance provider regarding coverage for D0210, as some plans may have limitations on the frequency of complete series X-rays (often limited to once every three to five years).
Insurance Claim Submission
When submitting claims for D0210, attach relevant clinical notes justifying the need for a full radiographic series. Ensure the use of accurate billing codes to avoid delays in claim processing.
D0210 Cost
The cost for a D0210 complete series of X-rays typically ranges from $100 to $300, depending on the provider’s location and the technology used for imaging.
ADA Guidelines
The ADA recommends a complete series of radiographic images when a comprehensive view of the patient’s oral health is necessary, especially for new patients or for those with ongoing dental concerns. The ADA suggests limiting exposure to X-rays based on clinical needs and patient risk factors.
Differences Between D0210 and Similar Codes
| Code | Description | Field of View |
|---|---|---|
| D0210 | Intraoral – complete series of radiographic images | Full mouth (all teeth) |
| D0274 | Bitewing – four radiographic images | Posterior teeth |
| D0220 | Periapical – first radiographic image | Single tooth or area |
Why D0210 was Used and Alternative Treatments
D0210 is typically used when a detailed and complete view of the entire mouth is necessary for diagnostics, treatment planning, or new patient assessments. Alternatives may include bitewing or periapical X-rays for specific areas if a full-mouth view is not clinically indicated.
Billing Frequency
D0210 is generally billed once every three to five years per patient, though frequency may vary based on the patient’s insurance policy and clinical needs. Certain cases may warrant more frequent imaging if medically necessary.
