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I am looking for a conversion for D0367 to ICT 10 so that we can see if the medical end will pay for the cone beam scan that was necessary for extraction of thirds? Also do we need diagnosis codes for billing. New to medical dental billing.
Hi guest! There is actually not currently a specific CPT code for CBCT……the closest CPT code is: 70486 – Computed tomography, maxillofacial area; without contrast material. Many offices have been using this for some time for CBCT, however, some medical insurers are auditing that code when used for CBCT because the description does not specify “cone beam”. So, “76497 – Unlisted computed tomography procedure (eg, diagnostic, interventional)” is a good CPT code to use (since it is an “unlisted” code, a narrative report describing the procedure is highly recommended). Also, many offices are putting their cone beam into “tomography” mode and billing for a tomography instead (76102). Or, some medical insurers will process the “D” codes for procedures when there is not a specific CPT code available…… For example, here are the “D” codes from HealthPartner’s medical policy for “Cone-beam computed tomography (CT) scan for medically-related dental services” D0363 – Cone-Beam 3D multi image reconstruction D0364 – Cone beam CT capture and interpretation with limited field of view – less than one whole jaw D0365 – Cone beam CT capture and interpretation with field of view of one full dental arc – mandible D0366 – Cone beam CT capture and interpretation with field of view of one full dental arch – maxilla, with or without cranium D0367 – Cone beam CT capture with interpretation with field of view of both jaws, with or without cranium D0368 – Cone beam CT capture and interpretation for TMJ series including two or more exposures D0380 – Cone beam CT image capture with limited field of view – less than one whole jaw D0381 – Cone beam CT image capture with field of view of one full dental arch – mandible D0382 – Cone beam CT image capture with field of view of one full dental arch – maxilla, with or without cranium D0383 – Cone beam CT image capture with field of view of both jaws, with or without cranium D0384 – Cone beam CT image capture for TMJ series including two or more exposures Here is a link to the full policy: As for the ICD-10 diagnosis code – that always depends on the patient”s condition! Basically – what is the condition/reason the services are being done. For example, if the thirds were impacted: K01.1 – Impacted teeth Or if there is a disorder: K08.9 – Disorder of teeth and supporting structures, unspecified Hope this helps!
Hi guest! If the CBCT is being performed solely for implant placement, you may consider: Z01.818 – Encounter for other preprocedural examination Having said that, you may also consider including diagnosis codes that describe the reason the implants are being placed. Hope this helps!
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