Understanding Dental Code D0371

When to Use D0371 dental code

The D0371 dental code is designated for the capture and interpretation of sialoendoscopy images. Sialoendoscopy is a minimally invasive procedure used to diagnose and treat disorders of the salivary glands, such as obstructions or chronic infections. This code should be used when a dentist or oral surgeon performs sialoendoscopy and provides a documented interpretation of the findings. It is not appropriate for routine imaging or when sialoendoscopy is not performed.

Documentation and Clinical Scenarios

Proper documentation is essential for successful reimbursement of D0371. The clinical notes should include:

• Indication for the procedure (e.g., recurrent swelling, suspected sialolithiasis)
• Details of the sialoendoscopy (which gland, findings, interventions performed)
• Interpretation of the captured images and clinical significance
• Any follow-up recommendations

Common clinical scenarios for D0371 include evaluation of unexplained salivary gland swelling, assessment of suspected ductal stones, or investigation of chronic sialadenitis. Accurate and thorough documentation supports medical necessity and reduces the risk of claim denials.

Insurance Billing Tips

When billing D0371, always verify the patient’s dental benefits and check if the plan covers advanced diagnostic procedures. Submit claims with detailed clinical notes and attach sialoendoscopy images if possible. If the procedure is denied, review the Explanation of Benefits (EOB) for the denial reason and be prepared to submit a claim appeal with additional documentation supporting the necessity of the procedure.

Coordinate benefits if the patient has both dental and medical insurance, as some plans may consider sialoendoscopy a medical procedure. In such cases, cross-code with the appropriate medical CPT code and ensure all required documentation is included.

Example Case for D0371

Case: A 45-year-old patient presents with intermittent swelling of the left submandibular gland. Clinical examination and standard imaging are inconclusive. The dentist performs sialoendoscopy, captures images of a small ductal stone, and provides a detailed interpretation. The findings are documented in the patient’s chart, and the claim is submitted using D0371.

Best Practice: The dental team verifies coverage, includes a narrative explaining the medical necessity, and attaches supporting images. The claim is processed successfully, and reimbursement is received without delay.

For related diagnostic codes, see our guide on comprehensive oral evaluation imaging.