The following codes will replace current codes, however the Procedure code descriptors for the services remain the same:ħ7078 replaces 76070 77081 replaces 76076ħ7079 replaces 76071 77083 replaces 76078īMM is covered when dual-energy x-ray absorptiometry is used to monitor osteoporosis drug therapy.
New 2007 Procedure code bone mass codes have been assigned for BMM. Effective for dates of services on and after January 1, 2007, the following changes apply to BMM:. It also changed the definition of BMM by removing coverage for a single-photon absorptiometry (SPA) as it is not considered reasonable and necessary under section 1862 (a)(1)(A) of the Act. Effective for dates of service on and after January 1, 2007, the CY 2007 Physician Fee Schedule final rule expanded the number of beneficiaries qualifying for BMM by reducing the dosage requirement for glucocorticoid (steroid) therapy from 7.5 mg of prednisone per day to 5.0 mg. In addition, new Procedure code were assigned to BMMs. If it is not, this will be considered by Medicare to be not medically necessary and Arcadia Radiology will require the patient to sign an ABN form.Įffective for dates of service on or after January 1, 2007, Medicare will pay for MM services for dual-energy x-ray absorptiometry (Procedure code 77080) when this procedure is used to monitor osteoporosis drug therapy. Check the brand name on the webĪny of the above reasons must be documented in the order. *The list of glucosteroids is far too extensive to include, but these are also approved. * Estrogen Estrogen Therapy Therapy and Hormone Hormone Therapy Therapy are also approved approved for the treatment treatment of osteoporosis osteoporosis in post-menopausal menopausal women. Fosamax, Actonel, Miacalcin, Evista, Forteo. If an individual is currently taking one of the following FDA approved Osteoporosis Medications: An individual with primary hyperparathyroidism.ĥ. An individual receiving (or expecting to receive) glucocorticoid (steroid) therapy.Ĥ. An individual with vertebral abnormalities as demonstrated by an x-ray to be indicative of osteoporosis, osteopenia,ģ. A woman who has been determined by her physician to be estrogen-deficient and at clinical risk for osteoporosis.Ģ. 
Medicare will cover DEXA bone mass measurement once every 2 years on a person who falls into 1 out of the 5 Following categories:ġ.
Procedure 74170 CT abdomen without and with contrast RADIOLOGY PROCEDURE CODE EASY GUIDE FOR BONE DENSITY/DEXA/CAT SCANĭEXA – hips, spine.
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