icd 10 code for dexa

by Yasmine Watsica III Published 2 years ago Updated 1 year ago 5 min read

ICD-10 CM code Z90.721 or Z90.722 should be reported for women s/p oophorectomy. 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

Osteoporosis

A condition where bone strength weakens and is susceptible to fracture.

/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.

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.

Full Answer

How many codes in ICD 10?

Oct 01, 2021 · Z13.820 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z13.820 became effective on October 1, 2021. This is the American ICD-10-CM version of Z13.820 - other international versions of ICD-10 Z13.820 may differ.

What are the common ICD 10 codes?

Oct 01, 2021 · Disorder of bone density and structure, unspecified. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. M85.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M85.9 became effective on October 1, 2021.

What are the new ICD 10 codes?

Z13.820 is a billable diagnosis code used to specify a medical diagnosis of encounter for screening for osteoporosis. The code Z13.820 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general …

What does ICD - 10 stand for?

The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT/HCPCS codes 0554T, 0555T, 0556T, 0557T, 0558T, 76977, 77078, 77081, G0130: It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the …

What ICD-10 codes cover a DEXA scan?

CPT code 77080 & 77081 are used for coding DEXA bone density/test exam. Medical coders use ICD 10 code Z01. 820, for Screening of bone density for osteoporosis.Oct 2, 2020

What ICD-10 code covers bone density?

Disorder of bone density and structure, unspecified

M85. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M85. 9 became effective on October 1, 2021.

What diagnosis covers DEXA scan?

Signs and symptoms related to bone mostly undergo DEXA scan to find any diagnosis with the density of bone like osteopenia or osteoporosis(M81. 0). The most common diagnosis used with DEXA scan for osteopenia 733. 90 and osteoporosis 733.Oct 2, 2020

What is CPT code for DEXA scan?

DEXA Scans and Insurance Codes

CPT® code	Definition
77081	Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites appendicular skeleton (peripheral) (e.g., radius, wrist, heel)
76977	Other Diagnostic Ultrasound Procedures; bone density measurement and interpretation, peripheral site(s), any method

1 more row

Is DEXA scan covered by Medicare?

In most cases, Medicare insurance does cover DEXA scans under Part B. Medicare Part B (Medical Insurance) provides benefits for outpatient procedures that are deemed medically necessary for ongoing treatment of illness.

What is ICD-10 code for osteoporosis?

0 – Age-Related Osteoporosis without Current Pathological Fracture. ICD-Code M81. 0 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Age-Related Osteoporosis without Current Pathological Fracture.

What is the ICD-10 code for screening for osteoporosis?

Encounter for screening for osteoporosis

Z13. 820 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z13. 820 became effective on October 1, 2021.

Is a DEXA scan considered preventative?

The DEXA scan is the only scan that can diagnose osteoporosis before a fracture occurs. Treatment can prevent about half of the fractures caused by osteoporosis. A DEXA Scan gives you the knowledge to own your health.Oct 24, 2018

What is diagnosis code M85 9?

ICD-10 code: M85. 9 Disorder of bone density and structure, unspecified.

Is Z13 820 covered by Medicare?

Medicare will always deny Z13. 820 if it is the primary or only diagnosis code.Jun 5, 2016

General Information

Article Guidance

This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L36356 Bone Mineral Density Studies provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

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.

What is DXA used for?

DXA can also be used to measure peripheral sites, such as the wrist and finger. DXA generates 2 x-ray beams of different energy levels to scan the region of interest and measure the difference in attenuation as the low- and high-energy beams pass through the bone and soft tissue.

What is the Medicare code for bone density?

Procedure code 77082 is considered by Medicare to represent vertebral fracture assessment only. Because code 77082 does not represent a BONE density study, when a BONE density study with vertebral fracture assessment is performed, bill the code for the appropriate BONE density study (e.g., 77080) plus code 77082.

Can Medicare reimburse bone mass?

Medicare reimbursement for an initial bone mass measurement may be allowed only once, regardless of sites studied (e.g., if the spine and hip are studied, Procedure code 77080 should be billed only once).

Does Medicare cover BMM?

BMM is covered when dual-energy x-ray absorptiometry is used to monitor osteoporosis drug therapy. Therefore, Medicare will pay procedure code 77080 when billed with the following ICD-9-CM diagnosis codes or any of the other valid ICD-9-CM diagnoses that are recognized by Medicare contractors appropriate for bone mass measurements:

Does BCBSNC cover BMD?

BCBSNC will provide coverage for Axial (Central) Bone Mineral Density (BMD) Studies when they are determined to be medically necessary because the medical criteria and guidelines shown below are met.

Does Priority Health cover BMD?

Priority Health will limit coverage for BMD studies to central DXA only. Any other BMD studies (e.g. peripheral, such as wrist, finger and heel) are not medically/clinically necessary and, therefore, not covered. BMD studies will not be prior authorized by Priority Health.

How often does Medicare cover bone mass?

Medicare covers a bone mass measurement for a beneficiary once every two years (if at least 23 months have passed since the month the last bone measurement was performed). The criteria for bone mass measurement every two years are listed below:

Document Information

CMS National Coverage Policy

This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Bone Mineral Density Studies. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.

Coverage Guidance

Bone (mineral) density studies are used to evaluate diseases of bone and/or the responses of bone diseases to treatment. The studies access bone mass or density associated with such diseases as osteoporosis, osteomalacia, and renal osteodystrophy.