Cone Beam CT — Single Jaw (Partial) (D0365) — National Rates

About D0365 — Cone Beam CT — Single Jaw (Partial)

D0365 refers to a Cone Beam CT scan for a single jaw (partial). This imaging procedure is utilized primarily for diagnostic purposes, particularly in cases where detailed visualization of the jaw structure is necessary, such as for implant planning or assessing pathology. Documentation should include the clinical rationale for the scan, patient history, and any relevant findings. Reimbursement for D0365 can vary significantly by payor and state, with some insurers covering the procedure fully while others may require prior authorization or have specific limitations. The average reimbursement is around $396, but dental billing professionals should verify individual payor policies to ensure proper coding and billing practices.

Reimbursement rates for D0365 vary significantly by state, payor, and provider network. The national average negotiated rate is $396. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.