Understanding Dental Code D0382

When to Use D0382 dental code

The D0382 dental code is designated for the capture of a cone beam computed tomography (CBCT) image with a field of view covering one full dental arch—specifically the maxilla, with or without inclusion of the cranium. This code should be used when a comprehensive three-dimensional image of the upper jaw is clinically necessary for diagnosis, treatment planning, or surgical assessment. Common indications include implant planning, evaluation of impacted teeth, assessment of pathology, or advanced orthodontic cases where detailed visualization of the maxillary arch is essential.

Documentation and Clinical Scenarios

Accurate documentation is critical for successful billing and reimbursement of D0382. Clinical notes should clearly state the reason for the CBCT scan, referencing the specific diagnostic or treatment need (e.g., “CBCT ordered for maxillary implant site evaluation due to insufficient bone on periapical radiograph”). Include the date of service, the area imaged (maxilla), and whether the cranium was included. Attach the radiology report and any relevant clinical findings to the patient’s chart. Typical scenarios for D0382 include pre-surgical implant planning, assessment of maxillary sinus pathology, or evaluation of complex maxillary fractures.

Insurance Billing Tips

When submitting a claim for D0382, always verify the patient’s dental and medical benefits, as some insurers may require preauthorization for CBCT imaging. Use the correct CDT code and ensure your claim form specifies the field of view (maxilla) and clinical necessity. Attach supporting documentation, such as clinical notes and radiology reports, to minimize the risk of denials. If the claim is denied, review the Explanation of Benefits (EOB) for the reason and be prepared to submit a claim appeal with additional justification. Track claims in your accounts receivable (AR) workflow and follow up promptly to ensure timely reimbursement.

Example Case for D0382

Consider a patient presenting for dental implant placement in the upper jaw. The dentist determines that a standard two-dimensional radiograph is insufficient for assessing bone volume and proximity to the maxillary sinus. A CBCT scan is ordered, capturing the entire maxillary arch. The clinical notes document the need for three-dimensional imaging for implant planning, and the D0382 code is used for billing. The claim includes the radiology report and clinical justification, resulting in a successful reimbursement after insurance review.