Understanding Dental Code D0272

When to Use D0272 dental code

The D0272 dental code refers to "Bitewings – two radiographic images." This code is used when a dentist takes two bitewing X-rays, typically to examine the interproximal surfaces of posterior teeth for caries (cavities) and to assess bone levels. D0272 is appropriate for routine check-ups in both adult and pediatric patients when only two bitewing images are clinically necessary. It’s important to use this code only when exactly two images are taken; if more or fewer images are needed, refer to D0270 for a single bitewing or D0274 for four bitewings.

Documentation and Clinical Scenarios

Accurate documentation is essential for proper billing and compliance. When using D0272, ensure the patient’s chart includes:

• Clinical rationale for taking bitewings (e.g., caries risk, monitoring bone loss, recall exam).
• Date of service and specific teeth/areas imaged.
• Radiographic findings and their impact on diagnosis or treatment planning.

Common scenarios for D0272 include routine recall exams for adults with low to moderate caries risk, or pediatric patients with mixed dentition where only two bitewings are needed. Always align documentation with the patient’s clinical needs and insurance guidelines.

Insurance Billing Tips

To maximize reimbursement and minimize denials when billing D0272:

• Verify frequency limitations—most insurance plans cover bitewings once per year or every 6–12 months. Check benefits before the appointment.
• Submit clear, legible images if requested by the payer during claim review or appeals.
• Attach supporting documentation (e.g., clinical notes, radiology report) if the patient is at higher risk or if bitewings are taken outside the typical frequency.
• Use the correct CDT code—do not substitute D0272 for a different number of images.
• Review Explanation of Benefits (EOBs) promptly to address denials or partial payments, and file appeals with additional clinical justification if necessary.

Proactive insurance verification and thorough documentation reduce Accounts Receivable (AR) delays and support successful claim outcomes.

Example Case for D0272

Case: A 35-year-old patient presents for a routine recall exam. The dentist determines that two bitewing X-rays are sufficient to evaluate for interproximal decay and monitor bone levels due to the patient’s low caries risk. The clinical note documents the rationale, and two images are taken and saved to the patient’s record. The front office verifies that the patient’s insurance covers bitewings once per year. The claim is submitted with D0272, clinical notes, and the date of service. The insurance pays the claim in full, with no delays or denials.

This example highlights the importance of matching clinical need, documentation, and insurance guidelines for efficient billing and optimal patient care.