Your doctor is likely to ask you questions, such as:
What You Need to Know About Osteopenia
The bones that make up your spine (vertebrae) can weaken to the point that they crumple and collapse, which may result in back pain, lost height and a hunched posture. Bone fractures, particularly in the spine or hip, are the most serious complications of osteoporosis.
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.
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.
ICD-10 code: M85. 89 Other specified disorders of bone density and structure Site unspecified.
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.
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.
Medicare will cover a test once every 24 months for a preventive screening if they meet the following requirements: a doctor certifies a woman is at risk for osteoporosis due to estrogen deficiency or medical history. a person's X-ray shows signs of osteoporosis, osteopenia, or fractured vertebrae.
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.
Z13. 820 - Encounter for screening for osteoporosis. ICD-10-CM.
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.
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 .
ICD-10 code M19. 90 for Unspecified osteoarthritis, unspecified site is a medical classification as listed by WHO under the range - Arthropathies .
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.
o An individual with vertebral abnormalities as demonstrated by an x-ray to be indicative of osteoporosis, osteopenia (low bone mass), or vertebral fracture
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.