D0273Bitewings - Three Radiographic Images
2026 Billing Guide
Covers the capture and/or interpretation of bitewings - three radiographic images used for dental diagnosis and treatment planning.
What This Code Covers
D0273 covers bitewings - three radiographic images. This procedure produces diagnostic images that help the dentist identify decay, bone loss, and other conditions not visible during a clinical exam. The images become part of the patient's permanent record and may be required for treatment planning documentation.
Billing Guide
Bill this code when:
- The specific imaging described by D0273 is performed and documented
- The image is clinically indicated for diagnosis or treatment planning
- The images are of diagnostic quality and stored in the patient record
Do not bill this code when:
- The images are retaken solely due to technical error at the same visit
- A different imaging type or field of view was actually captured
- The image was captured but not of diagnostic quality and must be repeated
- The procedure is better described by D0270 (Bitewing - single radiographic image)
Insurance and Denial Prevention
Key Payer Rules:
- Most plans cover diagnostic procedures under the diagnostic benefit category
- Frequency limits may apply for imaging codes (e.g., panoramic every 3-5 years, bitewings every 6-12 months)
- Some advanced imaging (CBCT, MRI) may require prior authorization
Common Denials and How to Respond:
- Frequency exceeded - Verify the payer's frequency schedule. Submit documentation of the clinical need if requesting an exception.
- Not medically necessary - Include the clinical indication and explain why this specific diagnostic procedure was required.
- Bundled with another procedure - Verify that the payer does not consider this code inclusive of another service billed on the same date.
Claim Submission Checklist
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Explore Related Codes
Codes commonly billed alongside or often confused with this procedure.
Bitewing, Single Radiographic Image
A single bitewing x-ray capturing the crowns and crestal bone of upper and lower teeth in one area, used for a targeted check rather than a full set.
Bitewings, Two Radiographic Images
Two bitewing x-rays taken in a single visit, commonly used for children or patients with limited posterior teeth to capture right and left sides.
Bitewings, Four Radiographic Images
Four bitewing x-rays taken in a single visit, the standard radiograph set for adult recall visits capturing right and left premolar and molar areas.
Intraoral Complete Series of Radiographic Images
Covers a full mouth series (FMX) of radiographic images, typically 14 to 20 periapical and bitewing films capturing all teeth and surrounding structures.