What ADA CDT Dental Code is D0350?
The D0350 dental code is used for billing 2D photographic images of the oral or facial region taken either inside (intra-orally) or outside (extra-orally) the mouth. This code supports visual documentation of dental and facial conditions that are essential for treatment planning and patient records.
What Procedure Does D0350 Refer To?
The D0350 code refers to taking a two-dimensional photographic image, which can be used for documentation, patient education, treatment planning, and communication with insurance providers or specialists. It provides a visual record without radiation exposure.
Documentation Requirements and Best Practices
- Document the purpose of the photographic image, such as treatment planning or record-keeping.
- Record details about the area captured (e.g., affected teeth or specific facial regions).
- Include any relevant clinical notes on findings visible in the image.
- Note the patient’s consent for photographic documentation.
- Keep a copy of the image in the patient’s electronic health record (EHR).
How to Verify Patient Eligibility and Coverage
Check with the patient’s insurance provider regarding coverage for D0350, as some plans may not cover photographic images or may have specific documentation requirements for reimbursement.
Insurance Claim Submission
When submitting claims for D0350, include supporting documentation such as clinical notes that justify the need for photographic imaging. Ensure correct coding for efficient claim processing.
D0350 Cost
The typical cost for a D0350 photographic image can range from $20 to $50, depending on the dental practice and region. Some providers may include this cost as part of a comprehensive exam or consultation.
ADA Guidelines
The ADA recommends using D0350 for documenting soft tissue or dental conditions that are visible without X-rays. It’s particularly useful for tracking changes over time or aiding in patient communication.
Differences Between D0350 and Similar Codes
| Code | Description | Imaging Type |
|---|---|---|
| D0350 | 2D photographic image, intra- or extra-oral | Photo (non-radiographic) |
| D0220 | Periapical – first radiographic image | X-ray (radiographic) |
| D0230 | Intraoral – each additional periapical image | X-ray (radiographic) |
Why D0350 was Used and Alternative Treatments
D0350 is often chosen to document visible issues or provide a non-radiographic visual record, especially useful in cosmetic and orthodontic cases. Alternatives include radiographic images (such as periapicals) if deeper imaging is necessary, although these involve radiation exposure.
Billing Frequency
The D0350 code can generally be billed as needed, particularly in cases where image documentation is crucial to treatment, such as orthodontics or follow-up exams, though frequency may be subject to insurance policy guidelines.
