Causes and Risk Factors of Osteoporosis. There are a number of diseases and conditions that may cause bone loss, as well as some medical procedures that increase the likelihood of osteoporosis. These include autoimmune disorders, digestive and gastrointestinal disorders, cancer, hematologic or blood disorders, neurological or nervous system disorders, blood and bone marrow disorders, mental illness, endocrine or hormonal disorders, and various other diseases and conditions.
They are also known as resistance exercises and include:
Standard radiographs of both hips demonstrated no characteristic findings in either femoral head. MRI of both hips presented a low signal line in the subchondral region of the femoral head in the T1 weighted image and high signal region in almost all of the femoral head in the short tau inversion recovery (STIR).
of osteoporosis or low bone mass at either the femur neck or lumbar spine includes some individuals who have the condition at one of the two skeletal sites but not the other. In specific, the prevalence of osteoporosis at either the femur neck or lumbar spine is 9%, which consists of
Femoral neck osteoporosis and osteopenia When the neck of the femur has low bone density, doctors call it femoral neck osteoporosis or osteopenia, depending on the severity. These conditions reduce the strength of the neck, which can cause it to fracture easily.
Question: What is the correct ICD-10 for osteopenia in the hips and spine? Answer: Code M85. 89 (Other specified disorders of bone density and structure, multiple sites).
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.
M85. 80 - Other specified disorders of bone density and structure, unspecified site | ICD-10-CM.
Most hip fractures occur in one of two locations on the long bone that extends from the pelvis to your knee (femur): The femoral neck. This area is situated in the upper portion of your femur, just below the ball part (femoral head) of the ball-and-socket joint. The intertrochanteric region.
The femoral neck is the most common location for a hip fracture. Your hip is a ball and socket joint where your upper leg meets your pelvis. At the top of your femur (which is your thigh bone) is the femoral head. This is the “ball” that sits in the socket. Just below the femoral head is the femoral neck.
Osteopenia is a loss of bone mineral density (BMD) that weakens bones. It's more common in people older than 50, especially women. Osteopenia has no signs or symptoms, but a painless screening test can measure bone strength.
If you have a lower than normal bone density score — between -1 and -2.5 — you have osteopenia. If you score is lower than -2.5, you may be diagnosed with osteoporosis. Osteoporosis is the more serious progression of osteopenia.
M85. 89 - Other specified disorders of bone density and structure, multiple sites | ICD-10-CM.
Z13. 820 - Encounter for screening for osteoporosis. ICD-10-CM. Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018.
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
Types of Bone Density Tests DXA (dual-energy X-ray absorptiometry) measures the spine, hip, or total body. Doctors consider this test the most useful and reliable for checking bone density. QCT (quantitative computed tomography) usually measures the spine, but it can test other sites, too.
Answer. • The ICD-10 codes that crosswalk with Osteopenia are under subcategory M85.8 and do not refer to Osteopenia. They are a group of very nonspecific disorders of bone density which do NOT justify or qualify for Vitamin D testing. • The specificity of the ICD-10 testing has refined what disorders qualify for coverage ...
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.
ICD-10-CM code Z79.51 or Z79.52 should be reported for an individual on glucocorticoid therapy.
Medicare will cover a confirmatory baseline bone mass measurement when it is performed with a dual energy x-ray absorptionmetry system (axial skeletal) to permit monitoring of beneficiaries in the future, if the initial test was performed with a technique that is different from the proposed monitoring method (for example, if the initial test was bone sonometry and the patient will be monitored with bone densitometry, a second test utilizing densitometry will be paid). If the initial bone mass measurement was performed by a dual-energy x-ray absorptionmetry system (axial skeletal), a confirmatory BMM is not covered.
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