CPT 70355: Panoramic Jaw Radiograph for Fracture Evaluation

CPT code 70355 represents a panoramic X‑ray of the upper and lower jaws used to diagnose jaw fractures and related traumatic injuries. Nationally, this code is central to acute facial trauma workflows in emergency departments and outpatient imaging centers, enabling rapid evaluation of mandibular and maxillary integrity with a single diagnostic exposure. Proper coding ensures accurate reporting of radiology services tied to oral and maxillofacial injury care.

Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for when 70355 is used, typical sites of service, and a summary of common modifiers and billing considerations. The publication outlines benchmarks and policy-relevant guidance on documentation and claim submission practices where available, and highlights areas where input data was not provided.

This resource is intended for billing managers, radiology and dental clinicians, and revenue cycle professionals seeking a national overview of how panoramic jaw radiography for fracture assessment is described, billed, and reimbursed across major payers.

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Billing Code Overview

CPT code 70355 describes panoramic radiographic imaging of the upper and lower jaws performed to evaluate suspected fractures or traumatic injury to the mandible and maxilla. This service captures a single panoramic X‑ray that images the entire dental arch and adjacent structures for diagnostic assessment.

Service type: Diagnostic radiology — panoramic dental/jaw radiograph

Typical site of service: Emergency department or outpatient radiology/dental imaging suite, often used when patients present with facial trauma or suspected jaw fracture.

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CPT 70355: Panoramic Jaw Radiograph for Fracture Evaluation

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Billing Code Overview

Service type: Diagnostic radiology — panoramic dental/jaw radiograph

Typical site of service: Emergency department or outpatient radiology/dental imaging suite, often used when patients present with facial trauma or suspected jaw fracture.

Clinical & Coding Specifications

Clinical Context

A 28-year-old male presents to the emergency department after an assault with facial trauma. He reports jaw pain, malocclusion when biting, and swelling along the lower face. Physical exam reveals tenderness along the mandible and difficulty opening the mouth. A maxillofacial clinician orders panoramic radiography to evaluate for fractures of the mandibular body, condyle, or dental avulsion prior to definitive management.

The clinical workflow: triage and trauma evaluation → focused maxillofacial exam → decision for imaging to assess bony injury → obtain CPT 70355 panoramic radiograph (upper and lower jaws) in radiology or dental imaging suite → image interpretation by the reading provider (oral and maxillofacial surgeon, dentist with radiology privileges, or radiologist) → documentation of findings and incorporation into treatment plan (conservative care, closed reduction, surgical repair). Typical indications include suspected mandible fracture, temporomandibular joint dislocation, dental root fractures, or evaluation of bony alignment after trauma.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S02.601A`	Unspecified fracture of mandible, initial encounter for closed fracture	Common indication for a panoramic radiograph to identify fracture location and displacement.
`S02.603A`	Fracture of mandible, unspecified, initial encounter for open fracture	Panoramic imaging assists in assessing fracture pattern in open mandible injuries.
`S03.4XXA`	Sprain and strain of jaw, initial encounter	Used when temporomandibular ligament injury or soft-tissue trauma necessitates imaging to exclude bony injury.
`K07.6`	Malocclusion, unspecified	Panoramic films can document dental alignment changes after trauma affecting occlusion.
`S02.406A`	Fracture of zygomatic arch, initial encounter for closed fracture	Panoramic radiograph may be an initial adjunct to evaluate midface involvement in some settings.
`S02.102A`	Fracture of base of skull, initial encounter	When suspected associated craniofacial injuries exist, panoramic radiographs may be part of initial facial imaging.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`70355`	Panoramic radiologic image of the jaws (upper and lower)	Primary procedure used to evaluate suspected mandibular or maxillary fractures and dental trauma.
`70486`	CT scan, facial bones, without contrast	Higher-resolution cross-sectional imaging used when panoramic radiograph suggests complex fractures or for preoperative planning.
`70110`	Radiologic examination, mandible; single view	Alternative targeted mandibular radiograph when a single-view study is sufficient or panoramic imaging is unavailable.
`70300`	Radiologic examination, temporomandibular joint, open and closed	Used when suspected temporomandibular joint pathology requires dedicated imaging beyond panoramic radiography.
`70336`	Radiologic examination, facial bones, 1 view	Supplemental plain radiograph of facial bones when focused views are needed in addition to the panoramic image.

Related Modifiers

9 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
1223G0001X	General Practice Dentistry	A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, manag…
208000000X	Pediatrics Physician	A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
2279H0200X	Home Health Registered Respiratory Therapist	Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans …
103TC2200X	Clinical Child & Adolescent Psychologist	A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents …
225XH1300X	Human Factors Occupational Therapist	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Occupational Therapist

CPT 70010: Posterior Cranial Fossa Contrast Imaging Interpretation

CPT-70015-BASAL-CISTERN-BRAIN-IMAGING-SUPERVISION-INTERPRETATION

CPT 70015: Basal Cistern Brain Imaging Supervision and Interpretation

CPT-70030-EYE-XRAY-FOREIGN-BODY-EVALUATION

CPT 70030: Plain X‑ray of Eye for Foreign Body Evaluation

CPT-70100-MANDIBLE-X-RAY-ONE-TO-THREE-VIEWS

CPT 70100: Mandible X‑ray, One to Three Views

CPT-70110-MANDIBLE-X-RAY-4-OR-MORE-VIEWS

CPT 70110: Mandible X-Ray, Four or More Views

CPT-70120-MASTOID-X-RAY-FEWER-THAN-3-VIEWS

CPT 70120: Mastoid X‑ray, fewer than 3 views per side

CPT-70130-MASTOID-X-RAY-SERIES-MASTOIDITIS-VESTIBULAR-EVALUATION

CPT 70130: Mastoid X‑Ray Series for Mastoiditis and Vestibular Evaluation

CPT-70134-INTERNAL-AUDITORY-CANAL-RADIOGRAPHY

CPT 70134: Radiography of Internal Auditory Canals, Diagnostic

CPT-70140-FACIAL-BONES-XRAY-FEWER-THAN-THREE-VIEWS

CPT 70140: Facial Bones X-ray, Fewer Than Three Views

CPT-70150-FACIAL-BONES-XRAY-THREE-VIEWS

CPT 70150: Facial Bones X‑ray, Minimum Three Views

Showing 1–10 of 66

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S02.601A`	Unspecified fracture of mandible, initial encounter for closed fracture	Common indication for a panoramic radiograph to identify fracture location and displacement.
`S02.603A`	Fracture of mandible, unspecified, initial encounter for open fracture	Panoramic imaging assists in assessing fracture pattern in open mandible injuries.
`S03.4XXA`	Sprain and strain of jaw, initial encounter	Used when temporomandibular ligament injury or soft-tissue trauma necessitates imaging to exclude bony injury.
`K07.6`	Malocclusion, unspecified	Panoramic films can document dental alignment changes after trauma affecting occlusion.
`S02.406A`	Fracture of zygomatic arch, initial encounter for closed fracture	Panoramic radiograph may be an initial adjunct to evaluate midface involvement in some settings.
`S02.102A`	Fracture of base of skull, initial encounter	When suspected associated craniofacial injuries exist, panoramic radiographs may be part of initial facial imaging.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`70355`	Panoramic radiologic image of the jaws (upper and lower)	Primary procedure used to evaluate suspected mandibular or maxillary fractures and dental trauma.
`70486`	CT scan, facial bones, without contrast	Higher-resolution cross-sectional imaging used when panoramic radiograph suggests complex fractures or for preoperative planning.
`70110`	Radiologic examination, mandible; single view	Alternative targeted mandibular radiograph when a single-view study is sufficient or panoramic imaging is unavailable.
`70300`	Radiologic examination, temporomandibular joint, open and closed	Used when suspected temporomandibular joint pathology requires dedicated imaging beyond panoramic radiography.
`70336`	Radiologic examination, facial bones, 1 view	Supplemental plain radiograph of facial bones when focused views are needed in addition to the panoramic image.

Related Modifiers

9 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
1223G0001X	General Practice Dentistry	A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, manag…
208000000X	Pediatrics Physician	A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
2279H0200X	Home Health Registered Respiratory Therapist	Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans …
103TC2200X	Clinical Child & Adolescent Psychologist	A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents …
225XH1300X	Human Factors Occupational Therapist	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Occupational Therapist

CPT 70010: Posterior Cranial Fossa Contrast Imaging Interpretation

CPT-70015-BASAL-CISTERN-BRAIN-IMAGING-SUPERVISION-INTERPRETATION

CPT 70015: Basal Cistern Brain Imaging Supervision and Interpretation

CPT-70030-EYE-XRAY-FOREIGN-BODY-EVALUATION

CPT 70030: Plain X‑ray of Eye for Foreign Body Evaluation

CPT-70100-MANDIBLE-X-RAY-ONE-TO-THREE-VIEWS

CPT 70100: Mandible X‑ray, One to Three Views

CPT-70110-MANDIBLE-X-RAY-4-OR-MORE-VIEWS

CPT 70110: Mandible X-Ray, Four or More Views

CPT-70120-MASTOID-X-RAY-FEWER-THAN-3-VIEWS

CPT 70120: Mastoid X‑ray, fewer than 3 views per side

CPT-70130-MASTOID-X-RAY-SERIES-MASTOIDITIS-VESTIBULAR-EVALUATION

CPT 70130: Mastoid X‑Ray Series for Mastoiditis and Vestibular Evaluation

CPT-70134-INTERNAL-AUDITORY-CANAL-RADIOGRAPHY

CPT 70134: Radiography of Internal Auditory Canals, Diagnostic

CPT-70140-FACIAL-BONES-XRAY-FEWER-THAN-THREE-VIEWS

CPT 70140: Facial Bones X-ray, Fewer Than Three Views

CPT-70150-FACIAL-BONES-XRAY-THREE-VIEWS

CPT 70150: Facial Bones X‑ray, Minimum Three Views

Showing 1–10 of 66

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 70355: Panoramic Jaw Radiograph for Fracture Evaluation

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Billing Code Overview

OpenPayer

CPT 70355: Panoramic Jaw Radiograph for Fracture Evaluation

Sign up for cpt 70355 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

CPT 70355: Panoramic Jaw Radiograph for Fracture Evaluation

Sign up for cpt 70355 policy alerts

Billing Code Overview

CPT 70355: Panoramic Jaw Radiograph for Fracture Evaluation

Sign up for cpt 70355 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What clinical scenario and service does CPT 70355 cover?

Which modifiers are commonly used with CPT 70355 and when should they be applied?

What related CPT codes might be billed alongside or instead of 70355?

When is a panoramic radiograph (70355) indicated in facial trauma workflows?

Which provider specialties and payers are referenced in the 70355 overview?

References

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What clinical scenario and service does CPT 70355 cover?

Which modifiers are commonly used with CPT 70355 and when should they be applied?

What related CPT codes might be billed alongside or instead of 70355?

When is a panoramic radiograph (70355) indicated in facial trauma workflows?

Which provider specialties and payers are referenced in the 70355 overview?

References