d0801 dental code fee - MARKETING
While it is likely not a covered service, the fee may be passed to the patient unless it is disallowed by in-network contracts. D0801 -- 3D Dental Surface Scan - Direct. This code addition in 2023 documents the capture of an intraoral 3D scan of the dentition and tissues.
Understanding the Context
The fee for 3D dental surface scan – direct or indirect D0801–D0802 if covered by group/individual contract is considered part of the fee when submitted in conjunction with any restorative, fixed/removable prosthodontics and/or covered implant services. The fee is not billable to the patient. chedule and Procedure Codes CDT 2025* EFFECTIVE DATE *The CDT 2025 codes and nomenclature that follow have been obtained, or appears verbatim from the Current Dental Terminology (CDT) 2025 Dental Procedure Codes (including procedure codes, definitions, and other data contained therein); copyrighted by th. American Dental Ass.
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Key Insights
These codes provide specificity for 3D imaging procedures involving intraoral, dental, or facial surfaces, whether captured directly from the patient or indirectly from a cast or model, enhancing accuracy of patient records and claim preparation. CMS-based 2026 Medicare reimbursement data for D0801: national RVU components, fee schedule estimates, and side-by-side facility vs non-facility payment differences. For iTero intraoral scans, D0801 is now the definitive code. By aligning your documentation with current standards and understanding insurer-specific policies, you can maximize both clinical efficiency and revenue potential. The fees provided below are based on values established by CMS/Medicare.
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Please check with your local Medicare contact on whether this code is eligible for reimbursement. All procedures performed by a General Dentist that are not listed on the Fee Schedule shall receive a 20% reduction from the General Dentist's customary or standard fee. This Fee Schedule applies to General Dentists only. Dental Specialists are contracted to reduce their standard rates by 20%.