Advanced Search

Radiology Coding Alert

Reader Question:

Bone Density Studies

Published on Sat Apr 01, 2000

Question: When a patient has had a previous bone mineral density study with an x-ray finding of osteopenia and it is recommended that the patient have a follow-up study, which diagnosis code should be used?

Washington Subscriber

Answer: In this instance, ICD-9 code 733.90 (disorder of bone and cartilage, unspecified) most closely describes this situation and is payable in many states, but coders should check with their local Medicare carrier guidelines.

In general, radiology coders should note that Medicare may cover bone density studies for beneficiaries once every two years on a qualified individual, provided at least 23 months has elapsed since the last bone density study. One way a patient may qualify for coverage is if the patient has vertebral abnormalities such osteoporosis, osteopenia or vertebral fractures indicated by x-ray. Diagnosis codes 733.00-733.09 are covered codes per Medicare guidelines.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Radiology Coding Alert

View All