What ADA CDT Dental Code is D0272?
The D0272 dental code is used for bitewing X-rays with two radiographic images. Bitewing X-rays capture images of the upper and lower teeth in a single section, focusing on the crowns and the area where the teeth touch (interproximal space). This code is commonly used in preventive dental care to detect decay between teeth, monitor bone levels, and assess dental restorations.
What Procedure Does D0272 Refer To?
D0272 involves taking two bitewing radiographs to examine specific sections of the mouth, typically either the left or right side. The patient bites down on a bitewing film or sensor, allowing the dentist to capture detailed images of the crowns of the upper and lower teeth simultaneously. These images help diagnose cavities, periodontal issues, and the condition of existing fillings or crowns.
Documentation Requirements and Best Practices for D0272
- Record the Purpose of the Bitewing Images: Document the reason for taking the radiographs, such as routine examination or specific diagnostic concerns.
- Describe Observations and Findings: Note any decay, bone loss, or structural issues identified in the images.
- Maintain a Record of Patient History: Include details on prior bitewing radiographs, if any, and any changes observed.
- Store Images for Future Reference: Save the radiographic images in the patient’s record for monitoring and comparison in future visits.
How Can I Verify Patient Eligibility and Coverage for D0272?
To verify eligibility and coverage for D0272, contact the patient’s insurance provider. Most insurance plans cover bitewing X-rays once a year as part of routine preventive care, though frequency limitations may vary. Confirming eligibility helps inform the patient of any potential out-of-pocket costs.
How Should D0272 Be Submitted on an Insurance Claim, and Should a Site Be Included?
Submit D0272 with a description of the purpose of the bitewing radiographs, noting if they are for routine examination or diagnostic purposes. Since this code is specific to two images, including this detail ensures accurate claim processing.
D0272 Dental Code Cost
The cost of D0272 typically ranges from $20 to $50 without insurance, depending on provider and location. Patients should consult their dental office for an exact estimate based on their insurance plan.
ADA D0272 Guidelines
The ADA recommends D0272 for routine preventive care to help identify interproximal decay, assess bone levels, and monitor dental restorations. This two-image bitewing setup is typically sufficient for low-risk patients, while additional images may be needed for higher-risk cases.
What is the Difference Between D0272 and Other Similar Codes?
| Code | Description | Purpose |
|---|---|---|
| D0270 | Bitewing – single radiographic image | Single bitewing image for a specific area |
| D0272 | Bitewings – two radiographic images | Two images covering left or right bitewing areas |
| D0273 | Bitewings – three radiographic images | Three images for more extensive coverage |
| D0274 | Bitewings – four radiographic images | Full coverage of both sides of the mouth |
Why Was D0272 Specifically Used for My Treatment, and Are There Alternative Treatments with Different Codes and Costs?
D0272 is chosen when two bitewing images provide sufficient coverage for routine evaluation or diagnosis of interproximal decay and bone health. Alternatives include D0274 if more comprehensive coverage is needed (four images for full mouth), or D0270 if only a single image is necessary for a specific area. The choice depends on the extent of imaging required based on the patient’s dental health.
How Often Can You Bill D0272?
D0272 is typically billed once a year as part of preventive care, but insurance policies may vary. Checking specific coverage guidelines with the patient’s insurance provider is recommended for accurate billing frequency information.
