CDT code · Diagnostic

D0220: Intraoral, Periapical First Radiographic Image

Definition

D0220 is the CDT code for the first periapical x-ray taken at a visit, an image that shows a whole tooth from crown to root tip.

Why it matters for the front desk

Periapicals are taken to diagnose a specific tooth, often at an emergency visit or before a crown or root canal. D0220 is billed for the first image and D0230 for each additional one at the same visit. Billing every image as D0220 is a common error that leads to denials. Some plans also limit periapicals or fold them into a full mouth series if too many are taken on one day.

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