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:
https://www.healthpartners.com/public/coverage-criteria/cone-beam-scan.htm


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!