What is the dental code for a cone beam CT of both jaws?

D0367, when the same provider both captures and interprets the scan. CBCT codes are split by field of view, not by the machine or the reason for the scan: D0364 is a limited view of less than one whole jaw, D0365 is one full mandibular (lower) arch, D0366 is one full maxillary (upper) arch, and D0367 is both jaws, with or without the cranium. D0368, a TMJ series of two or more exposures, sits outside that ladder and is chosen by what was imaged. Otherwise, pick the code that matches how much anatomy the scan covers.

What's the difference between D0367 and D0383?

Who interprets. Both describe a CBCT of both jaws. D0367 is capture and interpretation together, billed when one provider does both. D0383 is capture only, billed when the office takes the scan and a different practitioner reads it; the reading radiologist then bills D0391 (interpretation and report by a practitioner not associated with the capture). D0367 and D0383 are never billed for the same scan.

Can I bill D0330 (panoramic) and D0367 on the same day?

Only if the panoramic was a separate image. A 2D panoramic taken on the pan machine is a distinct procedure. Many CBCT units generate a panoramic projection from the same scan data, and billing both for that single exposure is generally not supported. Document a separate panoramic as such, and check the plan's bundling rules before submitting both, since carrier edits here are strict.

Does dental insurance cover D0367?

It varies widely by plan. CBCT is more likely to be covered for a specific clinical need the carrier recognizes, such as implant planning, evaluation of impacted teeth, or assessment of pathology, and many plans want a narrative explaining why 3D imaging was needed over conventional radiographs. Frequency limits and field-of-view restrictions are common, and some plans exclude CBCT from the dental benefit entirely, which is one reason these scans often go to medical. Verify the plan and run a predetermination on elective cases before scanning.

Should D0367 go on the dental claim or the medical claim?

Often medical, depending on the indication and the patient's coverage. CBCT for surgical planning, pathology, trauma, or TMJ evaluation frequently meets a medical plan's criteria and may pay better there than under a limited dental imaging benefit. Medical billing uses a CPT code and an ICD-10 diagnosis instead of the CDT code, plus documentation of medical necessity. Practices with implant or surgical volume often build a medical workflow for this reason. Offices that bill dental only should still verify whether the dental plan covers CBCT before assuming a write-off.

D0367 Dental Code: Cone Beam CT Billing (Both Jaws)

D0367 is the CDT code for a cone beam CT that covers both jaws, taken and read by the same provider.

When to use: The captured volume includes both the upper and lower arches, whatever the reason for the scan, and your own provider writes the report.
When not to use: One lower arch is D0365, one upper arch is D0366, a focused scan is D0364, and a both-jaws scan sent out to be read is D0383.
Billing note: Carriers review this highest-fee scan closely, so run a predetermination on elective cases and record the volume dimensions showing both arches.

Editorial illustration of a backlit radiographic viewer displaying a 3D cone beam reconstruction of the full upper and lower jaws and teeth (cone beam CT of both arches), warm muted tones

On this page

What D0367 covers
Where D0367 gets upcoded
Capture and interpretation: when D0367 splits
Coverage reality: verify, and consider medical
Documentation that supports the claim
When to bill D0367
FAQs

What D0367 covers

D0367 reports a cone beam CT scan whose field of view covers both the upper and lower jaws, with or without the cranium, where the same provider captures and interprets the scan. It covers the 3D acquisition, the reconstruction of the volume, the interpretation, and the report.

CBCT codes are separated by how much of the patient the scan volume covers, not by the machine, the reason for the scan, or the anatomy of interest. D0367 is the largest of the dental-arch field-of-view codes. Cranial structures in the scan do not change the code; if the volume includes both arches, it is D0367.

Where D0367 gets upcoded

As the top of the field-of-view ladder, D0367 is the highest-fee code in the capture-and-interpretation series and the one carriers review hardest for upcoding. A focused block of bone around a few teeth is D0364. A volume that stops at one arch is D0365 or D0366. Only a volume that captured the second dental arch is D0367, and a reviewer opening the reconstruction can count the arches.

The CBCT billing guide lays out the full cone beam code family, including the TMJ codes outside the field-of-view ladder, and how to choose the field of view.

Capture and interpretation: when D0367 splits

D0367 covers the capture and the read when one provider does both. When the office takes the scan and an unassociated practitioner reads it, the office bills D0383, the capture-only code for both jaws, and the reading practitioner bills D0391. The test for a split is professional association rather than distance; the guide covers it in when capture and interpretation split.

In the practice management system, keep D0367 and D0383 as separate entries so a scan sent out to be read doesn’t post as a one-provider service by default. The rest of the setup, including how to label the field-of-view codes and where to flag cone beam for verification, is in setting up cone beam codes in your PMS.

Coverage reality: verify, and consider medical

A both-jaws volume draws more scrutiny than a limited scan, on the theory that a smaller field should have answered a focused question, and it carries the highest fee in the family when it denies. Some plans hold the large-volume codes to a longer frequency cycle than the limited ones, and some carry no cone beam benefit at all. The general rules are in coverage, necessity, and frequency.

The high fee is why medical crossover comes up more on D0367 than on the smaller fields of view. Surgical planning, pathology, trauma, and TMJ evaluation are the indications that tend to carry a scan to the medical plan, and the medical allowable for 3D maxillofacial imaging sometimes exceeds what a limited dental imaging benefit pays. Which CPT code to use, which indications medical plans commonly exclude, and what the workflow requires are covered in billing cone beam to medical.

Documentation that supports the claim

The record must show the volume covered both arches, because that supports D0367 over the single-arch and limited codes. Record the protocol or preset name and the volume dimensions from the scan log on the date of service. The rest of what a cone beam claim needs is in documentation that supports a cone beam claim.

When to bill D0367

Bill D0367 when your office captures a cone beam CT covering both jaws and the same provider interprets it. Common situations:

Implant planning across both arches, or where the scan field naturally takes in both.
Evaluation of pathology, impacted teeth, or anatomy where a both-jaws volume is clinically indicated.
Surgical or orthodontic assessment requiring a full both-arches 3D dataset.

Do not bill D0367 for:

A scan limited to one arch (D0365 for mandible, D0366 for maxilla) or a sub-arch region (D0364).
A scan your office captured but a separate radiologist interpreted. That is D0383 plus D0391.
A 2D panoramic (D0330) or intraoral series (D0210). A panoramic view reconstructed from the same cone beam acquisition is a separate question, covered in the same-acquisition panoramic.

FAQs

What is the dental code for a cone beam CT of both jaws?: D0367, when the same provider both captures and interprets the scan. CBCT codes are split by field of view, not by the machine or the reason for the scan: D0364 is a limited view of less than one whole jaw, D0365 is one full mandibular (lower) arch, D0366 is one full maxillary (upper) arch, and D0367 is both jaws, with or without the cranium. D0368, a TMJ series of two or more exposures, sits outside that ladder and is chosen by what was imaged. Otherwise, pick the code that matches how much anatomy the scan covers.
What's the difference between D0367 and D0383?: Who interprets. Both describe a CBCT of both jaws. D0367 is capture and interpretation together, billed when one provider does both. D0383 is capture only, billed when the office takes the scan and a different practitioner reads it; the reading radiologist then bills D0391 (interpretation and report by a practitioner not associated with the capture). D0367 and D0383 are never billed for the same scan.
Can I bill D0330 (panoramic) and D0367 on the same day?: Only if the panoramic was a separate image. A 2D panoramic taken on the pan machine is a distinct procedure. Many CBCT units generate a panoramic projection from the same scan data, and billing both for that single exposure is generally not supported. Document a separate panoramic as such, and check the plan's bundling rules before submitting both, since carrier edits here are strict.
Does dental insurance cover D0367?: It varies widely by plan. CBCT is more likely to be covered for a specific clinical need the carrier recognizes, such as implant planning, evaluation of impacted teeth, or assessment of pathology, and many plans want a narrative explaining why 3D imaging was needed over conventional radiographs. Frequency limits and field-of-view restrictions are common, and some plans exclude CBCT from the dental benefit entirely, which is one reason these scans often go to medical. Verify the plan and run a predetermination on elective cases before scanning.
Should D0367 go on the dental claim or the medical claim?: Often medical, depending on the indication and the patient's coverage. CBCT for surgical planning, pathology, trauma, or TMJ evaluation frequently meets a medical plan's criteria and may pay better there than under a limited dental imaging benefit. Medical billing uses a CPT code and an ICD-10 diagnosis instead of the CDT code, plus documentation of medical necessity. Practices with implant or surgical volume often build a medical workflow for this reason. Offices that bill dental only should still verify whether the dental plan covers CBCT before assuming a write-off.

Related codes

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How to choose a billing company

CDT codes are maintained by the American Dental Association. This page is an editorial billing guide, not the official ADA code descriptor. Verify current coverage policies with each carrier before submitting claims.