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Guest
#1 Posted : Wednesday, July 7, 2021 12:21:11 PM(UTC)
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Guest

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Hello -

I do medical billing for Oral Maxillofacial surgeons. One of the surgeons has the understanding that code 70150 can be used for a CBCT. I have the understanding that code 70486 is to be used. Can you help clarify if code 70150 can be used for a complete (both mandible & maxilla) CBCT?

courtneydsnow
#2 Posted : Wednesday, July 7, 2021 2:28:55 PM(UTC)
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courtneydsnow

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Hi Guest!

Great question - it will depend on the field of view for the xray. Here are the full descriptions of those two codes:

70150 - Radiologic examination, facial bones; complete, minimum of 3 views
70486 - Computed tomography, maxillofacial area; without contrast material

United Healthcare states to use 70486 for CBCT in their radiology medical policy, here is a link to that policy (see page 89):
https://www.uhcprovider.com/content/dam/provider/docs/public/policies/clinical-guidelines/cardiology-radiology-imaging-guidelines.pdf

Hope this helps!
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