How To Use CPT Code 70350

CPT 70350 describes the radiographic study of the skull and jaw, known as a cephalogram, for orthodontic purposes. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 70350?

CPT 70350 is used to describe the radiographic study of the skull and jaw, specifically a cephalogram, which is performed for orthodontic purposes. This code is used when X-ray images are taken in frontal and/or lateral projections to provide treatment for dentofacial irregularities.

2. Official Description

The official description of CPT code 70350 is: ‘Cephalogram, orthodontic.’

3. Procedure

1. The provider obtains X-ray images of the skull and jaw in frontal and/or lateral projections.
2. The cephalogram is used to make cranial measurements for orthodontic placement.

4. Qualifying circumstances

CPT 70350 is performed when a radiographic study of the skull and jaw is necessary for orthodontic treatment. This procedure is typically used to assess dentofacial irregularities and aid in treatment planning.

5. When to use CPT code 70350

CPT code 70350 should be used when a cephalogram is performed specifically for orthodontic purposes. It is important to note that this code is not appropriate for other types of radiographic studies or diagnostic purposes unrelated to orthodontics.

6. Documentation requirements

To support a claim for CPT 70350, the provider must document the following information:

• Reason for the radiographic study (orthodontic treatment planning)
• Date and time of the procedure
• Specific projections used (frontal and/or lateral)
• Any additional relevant information or findings

7. Billing guidelines

When billing for CPT 70350, ensure that the procedure is performed for orthodontic purposes and that the documentation supports this. It is important to follow the specific guidelines and requirements set by the payer to ensure accurate and appropriate billing.

8. Historical information

CPT 70350 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes a cephalogram to assess their dentofacial irregularities and aid in orthodontic treatment planning.
2. A provider performs a cephalogram to evaluate the progress of a patient’s orthodontic treatment and make necessary adjustments.
3. A cephalogram is taken to assess the impact of orthodontic treatment on the alignment of the patient’s skull and jaw.
4. A provider uses a cephalogram to determine the need for orthodontic intervention in a patient with dentofacial irregularities.
5. A patient undergoes a cephalogram to assist in the diagnosis and treatment planning of their orthodontic condition.
6. A provider performs a cephalogram to evaluate the effectiveness of orthodontic treatment in correcting the patient’s dentofacial irregularities.
7. A cephalogram is taken to assess the growth and development of the patient’s skull and jaw in relation to their orthodontic treatment.
8. A provider uses a cephalogram to evaluate the stability of the patient’s orthodontic treatment results.
9. A patient undergoes a cephalogram to assess the impact of orthodontic treatment on their overall facial aesthetics.
10. A provider performs a cephalogram to aid in the planning and placement of orthodontic appliances for the patient.