Coding radiographs with restorative procedures

Coding radiographs with restorative procedures

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We have patients that come into the hospital due to issue where they can’t have the restorative procedures done without anesthesia. My question is, under anesthesia, if provider performs radiographic images and bitewings, can it be coded with a restorative procedure(s)? For example: D2930, D7140 with D0220 and D0272. Should the D0220 and D0272 not be coded? Thank you for your assistance.

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Asked on October 21, 2021
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You can certainly charge out radiographs with restorations. You have to be mindful of the plan limitations set in place by the carrier. If a patient has had a full mouth series done within a specified time limit the bitewings and pa’s may not be covered because the patient has exceeded their limit. There are also some plans that may only cover Bitewings but periapicals aren’t covered and vice versa. While x-rays can be taken, it is best to refer to the plan guidelines to ensure they will be covered.

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Answered on October 25, 2021
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