can ostopenia icd 10 code be used for a dexa

Full Answer

How is osteopenia ICD 10 diagnosed?

The best way to diagnose osteopenia ICD 10 is with a bone density test. This test examines the lumbar spine, hips and wrists. It uses an energy-saving X-ray to see the calcium content of a person’s bones and compares it with healthy young adults (T score) and people of the same age and gender (Z score).

How is DXA used to diagnose osteopenia?

DXA scanners can be used to diagnose osteopenia or osteoporosis as well as to measure bone density over time as people age or undergo medical treatment or lifestyle changes. Information from the DXA scanner creates a bone mineral density T-score by comparing a patient's density to the bone density of a healthy young person.

What is the ICD 10 code for osteoporosis?

ICD-10-CM code Z79.83 should be reported for DXA testing while taking medicines for osteoporosis/osteopenia. ICD-10-CM Z09 should be reported for an individual who has COMPLETED drug therapy for osteoporosis and is being monitored for response to the therapy.

Can osteopenia be a secondary diagnosis in a screening exam?

A screening exam must have the screening diagnosis as the primary diagnosis regardless of findings. If the result is osteopenia as you have said then you would not have to use the screening code unless you wanted to add it as secondary. I feel some people in this post were confused by all the answers.

What diagnosis can be used for DEXA scan?

DXA is most often used to diagnose osteoporosis, a condition that often affects women after menopause but may also be found in men and rarely in children. Osteoporosis involves a gradual loss of bone, as well as structural changes, causing the bones to become thinner, more fragile and more likely to break.

What is the ICD-10 code for bone density scan?

820.

What diagnosis codes cover bone density?

77080CodeDescriptionM85.841Other specified disorders of bone density and structure, right handM85.842Other specified disorders of bone density and structure, left handM85.851Other specified disorders of bone density and structure, right thighM85.852Other specified disorders of bone density and structure, left thigh124 more rows

Does Medicare cover DEXA scan for osteopenia?

The full cost of a bone density scan is covered under original Medicare every 24 months. If you need to have a bone density test more often, your doctor will have to provide proof of a reason for more frequent testing.

What ICD-10 codes cover a DEXA scan?

ICD-10 CM code Z79. 83 should be reported for DXA testing while taking medicines for osteoporosis/osteopenia. ICD-10 CM code Z09 should be reported for an individual who has COMPLETED drug therapy for osteoporosis and is being monitored for response to therapy.

Can osteoporosis and osteopenia be coded together?

Osteopenia is the beginning stages of osteoporosis. The report stated that there was no osteoporosis present, so that would not be coded, only osteopenia. If you look up osteoporosis there is no "Excludes 1,2" for osteopenia.

How do you bill for a DEXA scan?

Billing CPT 77080, 77081, 77082 with covered dxREIMBURSEMENT CODES FOR BONE DENSITOMETRY.CPT Code 77080 – Hip, spine or central DEXA (Dual Energy X-Ray Absorptiometry) studies. ... CPT Code 77081 – Peripheral DEXA Bone Mineral Density – $27.72.CPT Code 77082 – Peripheral Ultrasound Bone Mineral Density.Indications for DEXA.

What is ICD-10 code for osteopenia?

M85. 80 - Other specified disorders of bone density and structure, unspecified site | ICD-10-CM.

Is a bone density test considered diagnostic?

A bone density scan is used to: Diagnose osteopenia (low bone mass) Diagnose osteoporosis. Predict risk of future fractures.

What is the ICD 10 code for screening for osteoporosis?

Z13. 820 Encounter for screening for osteoporosis - ICD-10-CM Diagnosis Codes.

What is CPT code for DEXA scan?

Group 1CodeDescription77080DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA), BONE DENSITY STUDY, 1 OR MORE SITES; AXIAL SKELETON (EG, HIPS, PELVIS, SPINE)77085DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA), BONE DENSITY STUDY, 1 OR MORE SITES; AXIAL SKELETON (EG, HIPS, PELVIS, SPINE), INCLUDING VERTEBRAL FRACTURE ASSESSMENT1 more row

How often should you have a bone density scan if you have osteopenia?

If you're diagnosed with osteopenia, you will need regular bone density tests to monitor bone health, usually every two to three years. Not everyone with osteopenia develops osteoporosis. Changes to your lifestyle can keep bone loss to a minimum.

What is a bone disorder?

A disorder characterized by reduced bone mass, with a decrease in cortical thickness and in the number and size of the trabeculae of cancellous bone ( but normal chemical composition), resulting in increased fracture incidence.

Why do women get osteoporosis?

It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency. Osteoporosis makes your bones weak and more likely to break. Anyone can develop osteoporosis, but it is common in older women.

Is osteoporosis a primary or secondary condition?

Osteoporosis is classified as primary (type 1, postmenopausal osteoporosis; type 2, age-associated osteoporosis; and idiopathic, which can affect juveniles, premenopausal women, and middle-aged men) and secondary osteoporosis (which results from an identifiable cause of bone mass loss).

How to diagnose osteopenia?

While osteopenia can be diagnosed using plain radiographs, the most common method for measuring BMD (and a way to definitively diagnose osteoporosis) is through Dual Energy X-ray Absorptiometry or DEXA. Most people experience some loss of bone mass as they age, osteopenia and osteoporosis.

What age do you lose bone mass?

Regular check-ups with a physician to monitor bone loss, especially in people over age 50. , is one of the methods of PREVENTION.

Does Medicare have NCD on DEXA scans?

Lisa, Medicare no longer has an NCD on DEXA scans, but instructions on who is covered, etc, are now in the claims processing manual. Here is a link to just that section (scroll down to pages 13and on): http://www.cms.gov/transmittals/downloads/R70BP.pdf.

Is osteoporosis a risk factor for osteoporosis?

Here is my stand: Osteopenia is the thinning of bone mass. While this decrease in bone mass is not usually considered "severe", it is considered a very serious risk factor for the development of osteoporosis ,which is loss of bone mass.

When was osteopenia defined?

In June 1992 , the World Health Organization defined osteopenia. An osteoporosis epidemiologist at the Mayo Clinic who participated in setting the criterion in 1992 said "It was just meant to indicate the emergence of a problem", and noted that "It didn't have any particular diagnostic or therapeutic significance.

What is the DXA test?

The DXA ( dual X-ray absorptiometry) scan uses a form of X-ray technology, and offers accurate bone mineral density results with low radiation exposure.

What is the term for a condition of sub-normally mineralized bone?

Osteopenia , from Greek ὀστέον ( ostéon ), "bone" and πενία ( penía ), "poverty", is a condition of sub-normally mineralized bone, usually the result of a rate of bone lysis that exceeds the rate of bone matrix synthesis. See also osteoporosis . In June 1992, the World Health Organization defined osteopenia.

What causes osteopenia in female athletes?

Insufficient caloric intake - osteopenia can be connected to female athlete triad syndrome, which occurs in female athletes as a combination of energy deficiency, menstrual irregularities, and low bone mineral density. Low nutrient diet (particularly calcium, Vitamin D)

What is the condition called when the bone density is low?

Osteopenia . Osteopenia , preferably known as "low bone mass" or "low bone density", is a condition in which bone mineral density is low. Because their bones are weaker, people with osteopenia may have a higher risk of fractures, and some people may go on to develop osteoporosis. In 2010, 43 million older adults in the US had osteopenia.

Why do people with osteopenia have a higher risk of fractures?

Because their bones are weaker, people with osteopenia may have a higher risk of fractures, and some people may go on to develop osteoporosis. In 2010, 43 million older adults in the US had osteopenia. Unlike osteoporosis, osteopenia does not usually cause symptoms, and losing bone density in itself does not cause pain.

What is the purpose of osteoporosis screening?

The main purpose of screening is to prevent fractures. Of note, USPSTF screening guidelines are for osteoporosis, not specifically osteopenia.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article contains billing and coding guidelines that complement the Local Coverage Determination (LCD) Drugs and Biologicals, Coverage of, for Label and Off-Label Uses. Abstract: Denosumab is a receptor activator of nuclear factor kappa-B ligand (RANKL) inhibitor.

ICD-10-CM Codes that Support Medical Necessity

For the treatment of patients with bone metastases from solid tumors. Note: multiple myeloma, lymphoma and other cancers of the blood are not considered solid tumors).

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.