Billing Guide for D0340 (2D Cephalometric Radiographic Image - Acquisition, Measurement and Analysis)
Solutions
-
Description
Billing Guidelines, Tips and Reminders for D0340 (2D Cephalometric Radiographic Image - Acquisition, Measurement and Analysis)
February 02, 2025
Image of the head made using a cephalostat to standardize anatomic positioning, and with reproducible x-ray beam geometry.
WARNING
A cephalometric cannot be reported as generated by a cone beam CT (CBCT). D0340 requires that the image of the head is made using a cephalostat to standardize anatomic positioning.
MATCH
Cephalometric radiographic image (D0340) is considered to be a component of orthodontic records. There are no global or specific codes to report orthodontic records. See also photographic images (D0350) and diagnostic casts (D0470). These procedures, added to the cephalometric image, typically constitute orthodontic records.
COMMENTS
1. Cephalometric image (D0340) is often payable as a component of orthodontic records. For reimbursement of this code check "yes" in Box 40 asking "Is this for orthodontics?" on the 2024 ADA Dental Claim Form. Also see diagnostic casts (D0470) and photographic images (D0350), which, together with a cephalometric image, are typically the components of the orthodontic records.
2. For 2-D cephalometric radiographic image image capture only, see D0702.
LIMITATIONS
Reimbursement for cephalometric image (D0340) may be deducted from the lifetime orthodontic benefit. If orthodontic benefits are available the cephalometric image is typically reimbursed at 50% of the payor's fee. Sometimes the general dental benefit component of the plan will reimburse for orthodontic records separate from the orthodontic benefit. If reimbursed as part of the general dental benefits, D0340 may be paid at 50%, 80%, or 100% of the payor's fee.
Photo
WARNING
A cephalometric cannot be reported as generated by a cone beam CT (CBCT). D0340 requires that the image of the head is made using a cephalostat to standardize anatomic positioning.
MATCH
Cephalometric radiographic image (D0340) is considered to be a component of orthodontic records. There are no global or specific codes to report orthodontic records. See also photographic images (D0350) and diagnostic casts (D0470). These procedures, added to the cephalometric image, typically constitute orthodontic records.
COMMENTS
1. Cephalometric image (D0340) is often payable as a component of orthodontic records. For reimbursement of this code check "yes" in Box 40 asking "Is this for orthodontics?" on the 2024 ADA Dental Claim Form. Also see diagnostic casts (D0470) and photographic images (D0350), which, together with a cephalometric image, are typically the components of the orthodontic records.
2. For 2-D cephalometric radiographic image image capture only, see D0702.
LIMITATIONS
Reimbursement for cephalometric image (D0340) may be deducted from the lifetime orthodontic benefit. If orthodontic benefits are available the cephalometric image is typically reimbursed at 50% of the payor's fee. Sometimes the general dental benefit component of the plan will reimburse for orthodontic records separate from the orthodontic benefit. If reimbursed as part of the general dental benefits, D0340 may be paid at 50%, 80%, or 100% of the payor's fee.
Photo
Add Comments