What ADA CDT Dental Code is D0330?
The D0330 dental code is used to bill for a panoramic radiographic image, commonly known as a panoramic X-ray. This imaging technique provides a comprehensive view of the entire mouth, including teeth, jaw, sinuses, and surrounding bone structure, in a single image. It’s a valuable diagnostic tool for assessing overall oral health.
What Procedure Does D0330 Refer To?
The D0330 code refers to a panoramic X-ray, where the X-ray machine rotates around the patient’s head to capture a broad image of the full mouth. This non-invasive procedure helps dentists identify issues such as impacted teeth, cysts, tumors, or jaw abnormalities.
Documentation Requirements and Best Practices
- Document the clinical reason for taking the panoramic X-ray.
- Record any findings from the image, such as impacted teeth or abnormal structures.
- Note any history that supports the need for a full-mouth image.
- Include the patient’s consent for the radiographic procedure.
- Keep records of the radiographic interpretation and any follow-up recommendations.
How to Verify Patient Eligibility and Coverage
Check with the patient’s insurance provider to confirm coverage for D0330, as some plans may restrict coverage based on frequency or age.
Insurance Claim Submission
When submitting claims for D0330, attach relevant clinical notes that support the need for a comprehensive image. Use the proper billing code to ensure prompt and accurate claim processing.
D0330 Cost
The typical cost for a D0330 panoramic X-ray ranges from $100 to $250, depending on the provider and location. Some offices may include it in an initial exam fee.
ADA Guidelines
The ADA recommends panoramic X-rays as part of comprehensive exams when clinically indicated, particularly for detecting issues that might not be visible in regular bitewing or periapical X-rays.
Differences Between D0330 and Similar Codes
| Code | Description | Field of View |
|---|---|---|
| D0330 | Panoramic radiographic image | Full mouth |
| D0272 | Bitewing – two radiographic images | Limited to posterior teeth |
| D0220 | Periapical – first radiographic image | Single tooth or area |
Why D0330 was Used and Alternative Treatments
D0330 is chosen when a broad view of the entire mouth is needed, often to evaluate jaw alignment, impacted teeth, or bone abnormalities. Alternatives include bitewing X-rays for specific areas or periapical X-rays when a detailed view of a single tooth or section is required.
Billing Frequency
The D0330 code can typically be billed once every three to five years, depending on the patient’s insurance policy and clinical needs. Certain cases may justify more frequent imaging if medically necessary.
