When is D0705 used?
The D0705 dental code applies to extra-oral posterior dental radiographic imaging for capture purposes only. This code is utilized when dental offices need diagnostic images of back teeth (molars and premolars) through extra-oral methods like panoramic or extra-oral bitewing techniques, excluding interpretation or reporting services. D0705 works best when traditional intraoral x-rays aren't practical due to patient constraints (such as strong gag reflex, restricted mouth opening, or uncooperative pediatric patients) or when extra-oral methods offer better diagnostic clarity for posterior tooth areas.
D0705 Charting and Clinical Use
Proper documentation is essential for successful billing and insurance coverage. When applying D0705, make sure clinical records include:
Why traditional intraoral imaging wasn't suitable or effective
The medical reason for extra-oral imaging (such as cavity detection, restoration evaluation, or periodontal assessment of back teeth)
The exact location photographed (for example, left lower molars)
Verification that only image acquisition was completed (no analysis or report provided)
Typical situations involve patients with disabilities, young patients unable to handle intraoral sensors, or anatomical challenges that make standard imaging ineffective. Documentation should always demonstrate medical necessity to justify insurance claims.
Billing and Insurance Considerations
When processing claims for D0705, implement these strategies to improve payment rates and minimize rejections:
Check coverage details: Confirm the patient's dental plan covers extra-oral x-rays and review any usage restrictions.
Include supporting records: Provide clinical documentation and consider adding an explanation of why extra-oral imaging was required.
Apply correct coding: Make sure D0705 isn't billed with other x-ray codes for the same region on the same visit unless clinically warranted. For different radiograph types, select the proper code (such as D0330 panoramic radiograph).
Monitor claim responses: When claims get denied, examine the explanation of benefits for denial causes and prepare appeals with extra documentation when appropriate.
Following these practices helps ensure smooth claim processing and reduces payment delays.
How dental practices use D0705
Scenario: A 7-year-old child comes in for a regular checkup but cannot handle standard bitewing x-rays because of an excessive gag reflex. The dentist decides an extra-oral posterior image is needed to check the child's back teeth for cavities between teeth. The treatment notes record the unsuccessful intraoral attempt, explain why extra-oral imaging was chosen, and specify which area was captured. The practice submits D0705 for image acquisition only, includes a short explanation, and receives insurance payment following claim processing.
This scenario shows how important it is to match the billing code with the clinical situation and provide complete documentation to justify the charges.
Common Questions
Does dental code D0705 have the same reimbursement rate as intraoral X-rays?
The reimbursement for D0705 typically varies from intraoral radiograph rates since these are classified as separate procedures. Payment amounts are determined by individual dental insurance plans and their established fee schedules. Dental practices should confirm coverage amounts with each insurance carrier, noting that some plans may offer higher or lower reimbursement for D0705 compared to similar intraoral imaging codes.
Is it possible to bill D0705 with other X-ray codes during the same appointment?
D0705 may be billed together with additional radiographic codes when clinically justified and the procedures don't overlap in coverage. Nevertheless, numerous insurance providers impose limitations on billing several radiographic services on the same treatment date. It's essential to review each payer's guidelines and confirm that clinical records demonstrate the medical necessity for all imaging performed.
Which imaging equipment is commonly used for D0705 extra-oral posterior radiographs?
D0705 imaging typically utilizes extra-oral radiographic systems including panoramic X-ray units configured for posterior segment imaging, or dedicated extra-oral bitewing apparatus. The imaging equipment selection should be recorded in the patient's chart alongside the clinical justification for choosing this imaging approach.