evaluation. When a bone biopsy is used for bone density measurement, the covered indications are the same as other covered studies. When the service is provided for a non-covered or screening indication, the appropriate screening diagnosis code must be submitted as the reason for the service. 3. ICD-10 CM code Z90.721 or Z90.722 should be reported for women s/p oophorectomy. ICD-10
The ICD-10 code range for ICD-10 Disorders of bone density and structure M80-M85 is medical classification list by the World Health Organization (WHO).
ICD-10 CM code Z79.51, Z79.52 should be reported for an individual on glucocorticoid therapy. ICD-10 CM code Z79.83 should be reported for DXA testing while taking medicines for osteoporosis/osteopenia.
(L34639) Bone Mass Measurement ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Group 1 Paragraph: Note: ICD-10 codes must be coded to the highest level of specificity. When 77078, 77080, 77081, 77085, 76977 or G0130 is done as an initial diagnostic test that determines a diagnosis of E24.
Z13. 820 - Encounter for screening for osteoporosis. ICD-10-CM. Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018.
Medicare covers bone density testing for specific types of people ages 65 and older: Women whose doctors say they're low in estrogen and at risk for osteoporosis. People whose X-rays show they may have osteoporosis, osteopenia, or spine fractures.
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
CPT code 77080 & 77081 are used for coding DEXA bone density/test exam. Medical coders use ICD 10 code Z13. 820, for Screening of bone density for osteoporosis.
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.
Under ICD-10-CM, the term “Osteopenia” is indexed to ICD-10-CM subcategory M85. 8- Other specified disorders of bone density and structure, within the ICD-10-CM Alphabetic Index.
Medicare will always deny Z13. 820 if it is the primary or only diagnosis code.
Effective for dates of service on and after January 1, 2015, contractors shall pay for bone mass procedure code 77085 (Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites, axial skeleton, (e.g., hips, pelvis, spine), including vertebral fracture assessment.)
CPT code for this procedure for one or more sites is 77080.
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.
CPT® 78306, Under Diagnostic Nuclear Medicine Procedures on the Musculoskeletal System.