Search ICD-10 Codes - OSTEOPENI
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ICD-10-CM Diagnosis Codes
A00.0 | B99.9 | 1. Certain infectious and parasitic dise ... |
C00.0 | D49.9 | 2. Neoplasms (C00-D49) |
D50.0 | D89.9 | 3. Diseases of the blood and blood-formi ... |
E00.0 | E89.89 | 4. Endocrine, nutritional and metabolic ... |
F01.50 | F99 | 5. Mental, Behavioral and Neurodevelopme ... |
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.
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.
M85. 89 - Other specified disorders of bone density and structure, multiple sites | ICD-10-CM.
ICD-10 code M85. 80 for Other specified disorders of bone density and structure, unspecified site is a medical classification as listed by WHO under the range - Osteopathies and chondropathies .
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.
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.
For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient.
9: Disorder of bone density and structure, unspecified.
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.
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.
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.
Medicare will always deny Z13. 820 if it is the primary or only diagnosis code.
Bone Density Scan CPT COde CPT 77080 is used to code for bone density scan of axial bone like hip, pelvis and spine while 77081 was used to code axial bone like wrist, radius, heel etc.