· ICD 10 CODE for Osteopenia – M85.811 – M85.871 Bone density and structure. The Centers for Medicare & Medicaid Services (CMS) will implement Change Request (CR) 9252 on January 4, 2016, effective October 1, 2015. (See related MLN Matters® article MM9252.) This CR establishes the list of covered conditions and corresponding ICD-10-CM diagnosis codes …
· 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. M85.80 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth disrd of bone density and structure, unspecified site. The 2022 edition of ICD-10-CM M85.80 became effective on October 1, 2021.
2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code S73.025A [convert to ICD-9-CM] Obturator dislocation of left hip, initial encounter. Closed left obturator hip dislocation; Left obturator hip dislocation; Open left obturator hip dislocation. ICD-10-CM Diagnosis Code S73.025A.
2021/2022 ICD-10-CM Index > 'Osteopenia'. Toggle navigation.
Osteopenia is a condition that begins as you lose bone mass and your bones get weaker. This happens when the inside of your bones become brittle from a loss of calcium.
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.
2022 ICD-10-CM Diagnosis Code M85. 88: Other specified disorders of bone density and structure, other site.
ICD-10 code: M85. 9 Disorder of bone density and structure, unspecified.
The 2022 edition of ICD-10-CM M85. 851 became effective on October 1, 2021. This is the American ICD-10-CM version of M85.
Osteopenia is considered a midway point to osteoporosis; the bone density is lower than normal but not as severe and treating it may slow the progression bone loss that leads to osteoporosis. Bone mineral density (BMD) measures the level of calcium in the bones.
M85. 89 - Other specified disorders of bone density and structure, multiple sites | ICD-10-CM.
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.
Sometimes a routine X-ray reveals diffuse osteopenia (osteopenia in all bones visualized by the X-ray) or osteopenia of a particular location, such as spinal osteopenia. Periarticular osteopenia is an indication of past inflammation around a certain joint.
The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast. The Medicare deductible and co-pay/coinsurance are waived for this service.
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.
Bone densitometry is a test like an X-ray that quickly and accurately measures the density of bone. It is used primarily to detect osteopenia or osteoporosis, diseases in which the bone's mineral and density are low and the risk of fractures is increased.
Other specified disorders of bone density and structure, right thigh 1 M85.851 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Oth disrd of bone density and structure, right thigh 3 The 2021 edition of ICD-10-CM M85.851 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of M85.851 - other international versions of ICD-10 M85.851 may differ.
The 2022 edition of ICD-10-CM M85.851 became effective on October 1, 2021.
Medicare also lists M89.9 as an approved code for osteopenia, when would it be appropriate to use M89.9 "disorder of bone, unspecified"?
Regarding the coverage for breast cancer patients, if the provider or report says menopausal state or post-menopause then you can use Z78.0 which meets medical necessity for 77080 per LCD policy.
M85.8XX is correct for Osteopenia because the index points to that code range