What is the ICD 10 code for senile osteoporosis?

Asked By: Bonny Sauto | Last Updated: 10th March, 2020
Category: medical health bone and joint conditions
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ICD-10 Code: M81. 0 – Age-Related Osteoporosis without Current Pathological Fracture. ICD-Code M81. 0 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Age-Related Osteoporosis without Current Pathological Fracture.

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Correspondingly, what ICD 10 codes cover 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.

Secondly, what is osteoporosis nos? Osteoporosis, or porous bone, is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased risk of fractures of the hip, spine, and wrist. Men as well as women are affected by osteoporosis, a disease that can be prevented and treated.

Beside above, what is the CPT code for osteoporosis?

ICD-9-CM code 733.90 should be reported to indicate osteopenia, (only when billing 77080-DXA), when used to follow treatment with FDA approved osteoporosis medications. Group 2 Paragraph: CPT codes 77078, 77081, 76977 and G0130 may only be reported when performed as screening for osteoporosis.

How does a pathological fracture occur?

A pathologic fracture is a broken bone that's caused by a disease, rather than an injury. Some conditions weaken your bones, which makes them more likely to break. Everyday things, such as coughing, stepping out of a car, or bending over can fracture a bone that's been weakened by an illness.

39 Related Question Answers Found

What is the ICD 10 code for osteoporosis?

ICD-10 Code: M81. 0 – Age-Related Osteoporosis without Current Pathological Fracture. ICD-Code M81. 0 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Age-Related Osteoporosis without Current Pathological Fracture.

What diagnosis does Medicare cover for DEXA scan?

Nationally, Medicare currently provides coverage for DXA scans in men when an individual has been previously diagnosed with osteoporosis, primary hyperparathyroidism, vertebral bone fracture, or osteopenia of the spine, or in certain other situations.

What is the ICD 10 code for osteopenia?

Under ICD-10-CM, the term “Osteopenia” is indexed to ICD-10-CM subcategory M85. 8- Other specified disorders of bone density and structure, within the ICD-10-CM Alphabetic Index.

Are bone density tests free?

Bone density testing is a medical procedure used to determine bone density or strength. It can identify osteoporosis or osteopaenia and the risk of future bone fractures. There are different procedures that can measure bone density and the majority are quick and pain-free.

Does Medicare pay for osteoporosis screening?


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.

Does insurance cover DEXA scan?

While the DEXA test is painless, the cost may not be — not every insurance plan will cover all types of diagnostic scanning tests. Based on your personal risk factors and concern about osteoporosis, you and your doctor can decide if a DEXA bone density scan is right for you.

What is the CPT code for a bone density test for osteoporosis?

CPT code for vertebral fracture assessment is 77082. A DEXA scan is currently the most widely-used test in measuring bone mineral density. It is an important test in determining if osteoporosis is present, and assessment of the degree of bone thinning if osteoporosis is detected.

Does United Healthcare pay for bone density tests?

Does Medicare cover these tests? Medicare plans cover the full cost of bone mass measurement testing once every 24 months for people who meet certain criteria, but the test may be covered more often if deemed medically necessary.

What is cpt77078?

CPT 77078, Under Bone/Joint Studies
The Current Procedural Terminology (CPT) code 77078 as maintained by American Medical Association, is a medical procedural code under the range - Bone/Joint Studies.

Can you code osteoporosis and osteopenia together?


The term is also used to refer to any decrease in bone mass below the normal.” Both osteoporosis and osteopenia are assigned to main code category 733 (other disorders of bone and cartilage), but different subcategories—733.0x for osteoporosis and 733.9x for osteopenia.

Is z13 820 covered by Medicare?

According to a Medicare National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM), Z13. 820 Encounter for screening for osteoporosis is not covered by Medicare for a diagnostic lab testing service.

How do you code osteoporosis for a fracture?

If a patient is admitted to treat the pathological fracture rather than osteoporosis, the fracture should be sequenced first, followed by the code for osteoporosis. For the fracture, report 733.13 (pathologic fracture of the vertebrae). For the age-related osteoporosis, report code 733.01.

What is diagnosis code m85 80?

M85. 80 is a billable ICD code used to specify a diagnosis of other specified disorders of bone density and structure, unspecified site. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

Can CPT code 77080 and 77081 be billed together?


While coding 77085 and 77081 together do remember to use modifier XU with cpt code 77081. Since coding both cpt code together have a CCI edit which is bypassed by using XU modifier. While coding 77081 and 77080 together do remember to use modifier XU with cpt code 77080.

How much does a bone density scan cost?

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.

Does Medicare cover bone mass measurement?

Medicare Part B covers bone mass measurement every two years if you are at risk for osteoporosis and have a referral from your provider. Medicare considers you at risk if you: Receive osteoporosis drug therapy.