What is the CPT code for DEXA scan?
77085
77085: Dual-energy X-ray absorptiometry (DEXA), bone density study, one or more sites; axial skeleton (e.g., hips, pelvis, spine), including vertebral fracture assessment.
What is a bone density test called?
The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss. But most men, and women under age 65, probably don’t need the test.
What diagnosis covers bone density?
Medicare covers bone density testing for specific types of people ages 65 and older: Women whose doctors say they’re low in estrogen and at risk for osteoporosis. People whose X-rays show they may have osteoporosis, osteopenia, or spine fractures. People who take steroid medicines or plan to start.
What diagnosis codes are covered by Medicare for bone density?
Covered Indications
- Single energy x-ray absorptiometry (SEXA)
- Dual energy x-ray absorptiometry (DXA)
- Quantitative computed tomography (QCT)
- Bone ultrasound densitometry (BUD)
- Photodensitometry.
- Radiographic absorptiometry (RA)
What is procedure code 77067?
CPT® 77067 – Screening mammography, bilateral (two-view study of each breast), including computer-aided detection (CAD) when performed.
What is CPT code 77085?
Effective for dates of service on and after January 1, 2015, contractors shall pay for bone mass procedure code 77085 (Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites, axial skeleton, (e.g., hips, pelvis, spine), including vertebral fracture assessment.)
What is the diagnosis code for screening bone density?
M85.9 is a billable ICD code used to specify a diagnosis of disorder of bone density and structure, unspecified. A ‘billable code’ is detailed enough to be used to specify a medical diagnosis.
What is the CPT code for bone density scan?
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. While coding 77085 and 77081 together do remember to use modifier XU with cpt code 77081.
What is the right CPT code to use for a DEXA scan?
DEXA is basically short for dual energy X-ray absorptiometry. There is a standardized system of classification for following medical procedures and providing services, which is maintained through certain designated codes; in other words Current Procedural Terminology or CPT. The CPT code for dexa scans is 77080.
What diagnosis does Medicare cover for bone density?
How Medicare Can Help. Medicare Part B (Medical Insurance) covers a bone density test once every 24 months for individuals who meet the following criteria: A woman at risk for osteoporosis and is estrogen deficient. A person whose X-rays show possible osteoporosis, osteopenia, or vertebral fractures.
