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ICD-10-CM Code for Localized osteoporosis [Lequesne] M81.6

ICD-10 code M81.6 for Localized osteoporosis [Lequesne] is a medical classification as listed by WHO under the range - Osteopathies and chondropathies .

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Official Long Descriptor

Localized osteoporosis [Lequesne]
Excludes1: Sudeck's atrophy (M89.0)

M81

Excludes1: osteoporosis with current pathological fracture (M80.-)
Sudeck's atrophy (M89.0)

Use additional code to identify:
major osseous defect, if applicable (M89.7-)
personal history of (healed) osteoporosis fracture, if applicable (Z87.310)

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM M81.6 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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Prolia-LCD Policy Medical Necessity and Osteoporosis
I assume you are referencing the NGS LCA A52399 for Denosumab. That's what came up when I filtered for Connecticut anyway :) Based on what I'm reading, M81.0 only is perfectly acceptable for patient... [ Read More ]
Prolia-LCD Policy Medical Necessity and Osteoporosis
Hello all, Would anyone be able to help clarify the LCD policy for Prolia (J0897) Injection for Osteoporosis? I was told we needed an additional diagnosis besides having Osteoporosis, usually the pat... [ Read More ]
Billing Questions
I don't know where to go from here. I just don't what she is doing is correct. This is what the email said: "as long as the AWV documentation guidelines are met then they should be coded, however if ... [ Read More ]
Osteoporosis
Current DEXA indicates osteopenia as does the latest progress note. The physician wrote M81.0 for the diagnosis on the Prolia order. He is basing the osteoporosis dx on a DEXA from 2007. Our office... [ Read More ]
Osteoporosis osteoporosis prolia
Current DEXA indicates osteopenia as does the latest progress note. The physician wrote M81.0 for the diagnosis on the Prolia order. He is basing the osteoporosis dx on a DEXA from 2007. Our office... [ Read More ]
Will Medicare cover a DEXA scan with no osteoporosis diagnosis?
The payer cannot tell you what code to use for a specific claim. You can use M81.0 only if the patient has already been diagnosed with that condition. If this is a screening to see if the patient ha... [ Read More ]
Will Medicare cover a DEXA scan with no osteoporosis diagnosis?
Thanks so much for your reply, DJOHN99. I decided to contact the payer and was instructed to report, M81.0, "Age-related osteoporosis without current pathological fracture". Provider has corrected... [ Read More ]
Osteopenia of Hip , Osteopenia of Spine
[QUOTE="mccoyheather, post: 457748, member: 297655"] Yes, but the overall "osteopenic" DEXA T-score should give a specific number and possibly M81.0 would apply based on the score. If the patient has... [ Read More ]
Osteopenia of Hip , Osteopenia of Spine
Yes, but the overall "osteopenic" DEXA T-score should give a specific number and possibly M81.0 would apply based on the score. If the patient has a known fracture the fracture codes may apply see M8... [ Read More ]
Is this a 99204? 99204 e/m
My provider reported 99204. I only see the HPI as a EPF which would bring this to a 99202. Can anyone take a stab at this and let me know what you think? Thanks, Jo --------------------------... [ Read More ]
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