Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

D0210 - D0395 Diagnostic Imaging

D0210

Intraoral - complete series of radiographic images

short

Intraor complete film series

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0220

Intraoral - periapical first radiographic image

short

Intraoral periapical first

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0230

Intraoral - periapical each additional radiographic image

short

Intraoral periapical ea add

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0240

Intraoral - occlusal radiographic image

short

Intraoral occlusal film

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	YYY

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure

D0250

Extra-oral - 2d projection radiographic image created using a stationary radiation source, and detector

short

Extraoral 2d project image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	YYY

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure

D0251

Extra-oral posterior dental radiographic image

short

Extraoral posterior image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0270

Bitewing - single radiographic image

short

Dental bitewing single image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	YYY

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure

D0272

Bitewings - two radiographic images

short

Dental bitewings two images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	YYY

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure

D0273

Bitewings - three radiographic images

short

Bitewings - three images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0274

Bitewings - four radiographic images

short

Bitewings four images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	YYY

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure

D0277

Vertical bitewings - 7 to 8 radiographic images

short

Vert bitewings 7 to 8 images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Service/Procedure

D0310

Sialography

short

Dental saliography

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0320

Temporomandibular joint arthrogram, including injection

short

Dental tmj arthrogram incl i

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0321

Other temporomandibular joint radiographic images, by report

short

Other tmj images by report

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0322

Tomographic survey

short

Dental tomographic survey

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0330

Panoramic radiographic image

short

Panoramic image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0340

2d cephalometric radiographic image - acquisition, measurement and analysis

short

2d cephalometric image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0350

2d oral/facial photographic image obtained intra-orally or extra-orally

short

Oral/facial photo images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0351

3d photographic image

short

3d photographic image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0364

Cone beam ct capture and interpretation with limited field of view - less than one whole jaw

short

Cone beam ct capt & interp

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0365

Cone beam ct capture and interpretation with field of view of one full dental arch - mandible

short

Cone beam ct interprete man

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0366

Cone beam ct capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium

short

Cone beam ct interprete max

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0367

Cone beam ct capture and interpretation with field of view of both jaws, with or without cranium

short

Cone beam ct interp both jaw

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0368

Cone beam ct capture and interpretation for tmj series including two or more exposures

short

Cone beam ct interprete tmj

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0369

Maxillofacial mri capture and interpretation

short

Max mri capture & interprete

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0370

Maxillofacial ultrasound capture and interpretation

short

Max ultrasound capt & interp

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0371

Sialoendoscopy capture and interpretation

short

Sialoendoscopy capt & interp

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0380

Cone beam ct image capture with limited field of view - less than one whole jaw

short

Cone beam ct capture limited

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0381

Cone beam ct image capture with field of view of one full dental arch - mandible

short

Cone beam ct capt mandible

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0382

Cone beam ct image capture with field of view of one full dental arch - maxilla, with or without cranium

short

Cone beam ct capt maxilla

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0383

Cone beam ct image capture with field of view of both jaws, with or without cranium

short

Cone beam ct both jaws

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0384

Cone beam ct image capture for tmj series including two or more exposures

short

Cone beam ct capture tmj

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0385

Maxillofacial mri image capture

short

Max mri image capture

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0386

Maxillofacial ultrasound image capture

short

Max ultrasound image capture

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0391

Interpretation of diagnostic image by a practitioner not associated with capture of the image, including report

short

Imterprete diagnostic image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0393

Treatment simulation using 3d image volume

short

Trtmnt simulation 3d image

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0394

Digital subtraction of two or more images or image volumes of the same modality

short

Digital sub 2 or more images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

D0395

Fusion of two or more 3d image volumes of one or more modalities

short

Fusion 2 or more 3d images

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX