D0367 Dental Code: What It Covers and How to Bill It

D0367 is the CDT code for cone beam computed tomography capture and interpretation with a field of view that covers both jaws, with or without the cranium. A dentist uses this code when the CBCT scan captures the maxilla and the mandible in one exposure, rather than a single arch. The code bundles the scan and the reading of it together. If a separate provider reads the images, that provider bills D0391 for the interpretation instead of billing D0367 again.

D0367 differs from D0365 (mandible only) and D0366 (maxilla only) by field of view, not by the machine used. Most dental plans treat CBCT as a diagnostic benefit with its own frequency limit, often once every few years per arch or per field, and some plans route the claim to medical insurance instead of dental. Because the code carries a higher fee than a panoramic x-ray, payers often ask for a narrative and the images themselves before they pay the claim.

The D0367 dental code sits in the CDT imaging section, alongside D0364, D0365, and D0366. All four describe cone beam CT, a 3D x-ray technology that takes a series of exposures and builds them into a volume a dentist can scroll through, instead of one flat image.

What sets D0367 apart is field of view. It is the only one of the group that captures both jaws, the maxilla and the mandible, in a single scan. Offices usually reach for it before implant planning that spans both arches, before full-mouth surgical workups, or when a 2D pano does not give enough information to plan treatment. The exact wording for this and every related code lives in the CDT procedure code guide, which is worth keeping open at the front desk whenever a scan code comes up.

The D0367 dental code description, word for word, is: cone beam CT capture and interpretation with field of view of both jaws, with or without cranium. Broken into plain words, that means three things have to happen under one code: the machine captures the 3D image, the image covers both the top and bottom jaw, and a dentist reads and documents what the image shows.

Miss any one of those three and the code may not fit. A scan of one arch is D0365 or D0366, not D0367. A scan with no written interpretation in the chart is missing half of what the code describes, even if the image itself looks fine.

All of these codes describe the same CBCT technology. They differ by field of view and by whether the code includes the interpretation.

D0365 dental code covers one full arch, the mandible only, capture and interpretation together. D0366 dental code description matches D0365 almost word for word, except it swaps the mandible for the maxilla, with or without the cranium. Neither one captures both jaws in a single scan. D0367 is the CBCT dental code both jaws scans get billed under. It is the only one of the three that covers the maxilla and the mandible together, in one exposure.

There is also a smaller code, D0364, for a limited field of view, less than one whole jaw. D0364 dental code cost usually runs lower than D0367 because it captures far less anatomy. If your team only captures the image and a different provider reads it, the capture-only version of that smaller scan is D0383 dental code, and the reading provider bills D0391 dental code separately for the interpretation and report.

The same logic that applies to D0367 applies to other procedure codes too. If your office bills codes like D2160 or D5110, the rule is the same: match the code to the chart note, and check the plan before you file, not after.

Insurers that cover CBCT ask for more than the claim form. Keep these in the chart before you submit:

• A written order or clinical note stating why a 3D image was needed instead of, or in addition to, a 2D x-ray.
• The actual CBCT images, or a report the payer can request on review.
• A narrative, in plain words, tying the scan to the planned treatment: an implant site, an impacted tooth, a surgical plan, or a suspected issue the provider wants to look at closer.
• The date of service and which machine captured the scan, since some plans ask for that detail.

Some plans also want a predetermination before you take the scan, not after. Our guide to dental predetermination covers how that request works and how long it usually takes to hear back. Skip any one of these steps and the payer has a reason to pend or deny the claim, even when the code itself is right.

There is no single D0367 dental code cost that applies everywhere. CBCT machines cost far more to buy and maintain than a panoramic unit, so most practices set a higher fee for D0367 than for a 2D pano, but the exact number depends on your fee schedule, your region, and whether you own the machine or refer the scan out.

What matters more than the sticker price is what the plan actually pays. Dental plans often cap CBCT at a set dollar amount or a share of an allowed fee, and some route CBCT to medical benefits instead of dental, since it is a diagnostic imaging service. Call the payer, or run the check yourself, before you take the scan, not after the claim comes back lower than you planned.

CBCT is exactly the kind of procedure where guessing costs money. The fee is high enough that a denied claim or a surprise patient balance is a real problem, and the details that matter, the frequency limit, the medical routing, whether a predetermination is required, live inside the plan, not in your fee schedule.

The ADA Health Policy Institute found that 43.3% of dentists already use AI for at least one task in the practice, and insurance verification is the second most common planned use, with 32.6% of dentists planning to add it against 13.6% using it today. That gap is the whole story for a code like D0367: most front desks still call the payer or dig through a portal for a benefit this specific, when a quick check up front would catch the frequency limit before the scan is even taken.

At Valian, the front desk signs in and runs a check in one click for the patient on the schedule, in seconds, not overnight and not on autopilot. Different payers set different rules for CBCT, so look up the payer's eligibility details before you book the scan, then bill the code correctly the first time. For the fuller picture of what a verification call actually covers, see how automated dental insurance verification works, or see the insurance verification page for how the check fits into a normal day at the front desk.

Most D0367 denials come down to a handful of repeat problems:

• No frequency match. The plan already paid for a CBCT of the same area within its limit, often two or three years, and the new claim gets rejected as a duplicate.
• Missing narrative. The claim lists a code and a fee with no explanation of why a 3D scan was needed.
• Wrong benefit category. The plan processes CBCT as a medical benefit, not dental, and the claim bounces back asking for a medical claim form instead.
• Field of view mismatch. The chart note describes one arch, but the code billed is D0367, which covers both jaws. The code and the note have to match exactly.

Catching any of these before you submit saves a resubmission, and resubmissions are where claims sit the longest.

If your team wants to see how a one-click check fits into the schedule you already run, you can book a short walkthrough.

What does the D0367 dental code cover?

D0367 covers a cone beam CT scan that captures both the maxilla and the mandible in one exposure, along with the interpretation of that scan. It bundles capture and interpretation into a single code, so you do not bill them separately unless a different provider reads the images.

How much does D0367 pay?

There is no flat number. Payment depends on your fee schedule, the patient's plan, and whether the plan processes CBCT as a dental or a medical benefit. Check the plan before the scan so you know the allowed amount and any frequency limit.

What is the difference between D0365, D0366, and D0367?

D0365 covers one full arch, the mandible only. D0366 covers one full arch, the maxilla only, with or without the cranium. D0367 covers both jaws together in a single scan, and all three codes include both the capture and the interpretation.

Do you need a different code if another dentist reads the scan?

Yes. If your office captures the image but a different provider reads it and writes the report, the reading provider bills D0391 dental code for the interpretation, not D0367.