What diagnosis codes cover bone density?

ICD 10 diagnosis for bone density DEXA scan CPT code 77080 and 77081.

What ICD 10 codes cover a 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. 4.

Is bone Densitometry covered by Medicare?

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 diagnosis covers DEXA scan for Medicare?

Bone mass measurements Your X-rays show possible osteoporosis, osteopenia, or vertebral fractures. You’re taking prednisone or steroid-type drugs or are planning to begin this treatment. You’ve been diagnosed with primary hyperparathyroidism. You’re being monitored to see if your osteoporosis drug therapy is working.

What is the ICD 10 code for bone density?

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

Is a bone density test considered preventive?

According to the U.S. Preventive Services Task Force, BMD tests are recommended for: All women ages 65 and older. Younger women with a higher-than-normal chance of fracture for their age.

How do you bill for DEXA scan?

CPT code 77080 & 77081 are used for coding DEXA bone density/test exam. Medical coders use ICD 10 code Z01. 820, for Screening of bone density for osteoporosis.

What is the ICD 10 code for osteoporosis screening?

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.

How much does a bone densitometry cost?

The test can be a waste of money. A DEXA scan costs about $125. And if your doctor prescribes a drug when you only have mild bone loss, you spend money you don’t need to. A month’s supply of generic alendronate can cost as much as $75.

What is the CPT code 77080?

Cpt code 77080 is used to code for bone density scan of axial bones like hip, pelvis and spine while 77081 was used to code axial bone like wrist, radius, heel etc.

Is Z13 820 covered by Medicare?

Medicare will always deny Z13. 820 if it is the primary or only diagnosis code. The Medicare national coverage determination (NCD) can be found at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1580OTN.pdf.