tci Outpatient Facility Coding Alert - 2013 Issue 4

Procedures: Hospital Facilities Build Bone Density Claims on 3 Tips

Know when you can legitimately report 77080. The restrictions Medicare sets for bone density tests can keep even the most conscientious coders guessing about whether they’ve met the medical necessity and frequency guidelines. Our experts offer real-world advice that will keep you on track and strengthen your chances of success. Scenario: Your physician orders an axial skeleton DXA for an estrogen-deficient female patient at risk for osteoporosis. (Dual-energy x-ray absorptiometry (DXA) is the gold standard for measuring bone density.) You should report 77080 (Dual-energy X-ray absorptiometry [DXA], bone density study, 1 or more sites; axial skeleton [e...

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