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New DEXA bone density scan cpt code 2015

Bone density CPT code 2015 (DEXA scan)

Bone density scan is performed to check the density of bones. We use to do bone density scan to check osteopenia (733.90, ICD10-M85.80) or osteoporosis (733.00, ICD10-M81.0) present in bone. Sometimes coders use Screening for bone density or osteoporosis ICD 10 code Z01.820 for these procedures. Osteopenia and osteoporosis both are caused because of low density in bone.Osteoporosis is generally more severe than osteopenia. Both are the most common diagnosis found during bone density CPT Code coding. Since 2014, we were using few cpt codes for bone density. But in 2015, new codes have been introduced which will include some old codes. Also, there are few codes being deleted and some new codes have been introduced in 2015. Let us check out the changes made in 2015.

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New DEXA bone density cpt code 2015

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Importance of bone density and dexa scan

Bone Mineral Density or called as BMD is very important to test regularly. The bones density decreases after a certain age, mostly after 55 or 60. Hence, it is important to go through DEXA scan which shows the true mass of your bone or skeleton. Men and Women who are between 55 to 65 ages, are recommended to go for BMD analysis periodically, to check for any risk of diseases like osteoporosis. DEXA is the best method which is painless and quick for BMD analysis.

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Bone scan density CPT Code

Earlier in 2014 we use to have to major codes for coding Bone density procedure that is DEXA scan. The cpt codes used in 2014 are 77080 and 77081. Cpt code 77080 is used to code for bone density scan of axial bones like hip, pelvis and spine while 77081 was used to code axial bone like wrist, radius, heel etc. below is there detail description.

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77080 Dual-energy X-ray absorptiometry (DEXA), bone density, 1 or more sites; axial skeleton (e.g., hips, pelvis, spine)

77081 Appendicular skeletons (peripheral) (e.g., radius, wrist, heel)

The code deleted in 2015 for bone density scan is 77082.  Since we have some new codes introduced in 2015, we will no longer use this code. We will be using new cpt code 77086 in place of 77082. Lets check out these New codes.

There are two new codes have been introduced in 2015 for DEXA scan or bone density scan. These cpt codes will include the old codes and should never be coded with these codes. Below are the new codes for 2015.

77085  Axial skeleton (e.g., hips, pelvis, spine), including vertebral fracture assessment  

77086  Vertebral fracture assessment via dual-energy X-ray absorptiometry (DEXA) 

Additionally, CPT code 77086 was created to report a vertebral fracture assessment via DEXA. Note, exclusionary language has been added in the CPT manual for instructions on how to appropriately bill for these two new codes.

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Do and Don’t for Bone density CPT Codes

Do not report 77080 in conjunction with 77085, 77086

Do not report 77085 cpt code in conjunction with 77080, 77086

Do not report 77086 cpt code in conjunction with 77080, 77085

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.

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