icd 9 code for bone density test

Full Answer

What is the CPT code for bone density test?

CPT Code 77080 was mainly used for bone density scan of axial bones like hips and spine while 77081 was used to code axial bone like wrist, radius and heel etc. These codes were deleted in 2015 and two new codes were introduced for DEXA scan. These CPT Codes will include the old codes.

What is the CPT code for bone density?

CPT code and Description 78350: Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry78351: Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (e.g., hips, pelvis, spine)Billing GuidelinesEach claim must…

What is Medicare CPT code for bone density?

cpt code 78350, 78351, 77080 and 77086 - Medical Billing and Coding - Procedure code, ICD CODE. 78350: Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry 78351: Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry

What is the CPT code for bone scan?

Whole Body Bone Scan Billing/Coding Nuclear Sonics Billing #: 11 CPT Code: 78306 CPT Name: Bone and/or joint imaging; whole body Radiopharmaceutical Used: Tc-99m Medronate (MDP) or Tc-99m Oxidronate (HDP) HCPCS Code: MDP - A9503 or HDP - A9561 NDC #: if needed, please contact NSA technologist Billing for Rp: Per study dose, up to 30 millicuries

What diagnosis codes cover bone density?

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

What ICD-10 codes cover DEXA scan?

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.

What is the ICD-10 code for bone density?

ICD-10 Code for Disorder of bone density and structure, unspecified- M85. 9- Codify by AAPC.

Is Z13 820 covered by Medicare?

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

What is the ICD 10 code for osteoporosis screening?

Z13. 820 Encounter for screening for osteoporosis - ICD-10-CM Diagnosis Codes.

How do you code a DEXA scan?

CPT® Coding for Bone Density Studies 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel).

Is a bone density test considered diagnostic?

A bone density scan is used to: Diagnose osteopenia (low bone mass) Diagnose osteoporosis. Predict risk of future fractures.

Does Medicare cover bone density test?

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.

What is diagnosis code m85 9?

9: Disorder of bone density and structure, unspecified.

What is the ICd 9 code for bone density?

Common diagnoses resulting from bone density studies may be reported with the following ICD-9-CM codes from Category 733 Other disorders of bone and cartilage:#N#733.0x Osteoporosis#N#733.1x Pathologic fracture#N#733.9x Other and unspecified disorders of bone and cartilage#N#Bone pain and other bone disorders may be coded from Category 719 Other and unspecified disorders of joint; or#N#733.90 Disorder of bone and cartilage, unspecified.#N#Report personal or family history of bone disorders with:#N#V13.89 Personal history of other specified diseases;#N#V17.81 Family history of osteoporosis; or#N#V17.89 Family history of other musculoskeletal disease.#N#Example 1: A 59-year-old man presents to his primary care physician (PCP) with the chief complaint of creaking knees: His knees ache and pop every time he rises from his living room sofa. He also has heard and felt occasional snaps in his groin and shoulder blades. The PCP does a limited exam of these three regions and orders bilateral X-rays of these regions.#N#CPT® codes:

How to measure bone density?

The most common, accurate method to measure bone density involves dual energy X-ray absorptiometry (DXA). DXA projects two X-ray beams to better assess bone density and can detect a variance as small as 3 percent from one scan to the next. Conventional X-rays are not sensitive enough to detect such small variances. DXA is especially effective for full-body skeletal assessments, as well as for focused studies of the hip, spinal column, and forearm (the skeletal areas most likely to break).#N#During a DXA scan, the patient rests on a cushioned platform. Mechanical arms are placed under the X-ray table and are aligned with an X-ray detector placed above the patient’s body. The amount of X-ray energy absorbed by the bone is measured to determine the strength of that bone. Less energy will pass through healthy bone than through osteopenic or osteoporotic bone.#N#Aside from using DXA, a bone density study might be conducted using:

What is the DXA used for?

Aside from using DXA, a bone density study might be conducted using: Peripheral DXA (pDXA) – Portable machines used to measure bone density in the arms or legs.

Why is age important for osteoporosis?

Age is a key factor because the older a person gets, the more bone he or she tends to lose (reflected in ICD-9-CM classification as “Senile,” and in ICD-10-CM as “Age-related”). Gender is also a factor. Women are more prone to osteoporosis because they have smaller bones than men.

What is the best method to measure bone density?

Quantitative ultrasound (QUS) – A portable machine used to measure bone density of the heel. Radiographic absorptiometry (RA) – This technique is most commonly used for bone density measurement at the hand or heel.

What age do you break a bone?

You break a bone after age 50. You are a woman of menopausal age with risk factors. You are a postmenopausal woman under age 65 with risk factors. You are a man age 50-69 with risk factors. Or a physician might order a bone density study for a patient who has had: An X-ray showing a spinal break or bone loss. Back pain.

What is the purpose of bone density studies?

by Ken Camilleis, CPC, CPC-I, CMRS, CCS-P#N#Bone density studies measure specific mineral values in targeted bony structures throughout the skeletal system, which allows a physician to diagnose osteopor osis (porous bone) or osteopenia (low bone density, the precursor to osteoporosis).

How often does Medicare cover dexa?

Medicare will cover DEXA bone mass measurement once every 2 years on a person who falls into 1 out of the 5 Following categories: 1. A woman who has been determined by her physician to be estrogen-deficient and at clinical risk for osteoporosis. 2.

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.

Is BMD a one time measure?

A. A one-time measurement of BMD, using one method only, may be considered medically necessary to assess fracture risk and the need for pharmacologic therapy in the following patients considered at risk for osteoporosis, who are also considering treatment to prevent osteoporotic fracture: 1.

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 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.