Find information on osteoporosis screening, including ICD-10 codes Z13.820 and Z13.828, DEXA scan procedure codes, bone density testing guidelines, and clinical documentation requirements for accurate diagnosis and medical billing. Learn about risk factors, prevention strategies, and treatment options for osteoporosis. This resource provides comprehensive information for healthcare professionals, clinicians, and medical coders seeking guidance on osteoporosis screening and management.
Also known as
Encounter for screening for osteoporosis
Routine bone density screening for osteoporosis.
Disorders of bone density and structure
Includes osteoporosis, osteopenia, and other bone density issues.
Factors influencing health status and contact with health services
Encompasses health screenings and preventative measures.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the encounter for an osteoporosis screening?
Yes
Is there a personal history of osteoporosis?
No
Do not code osteoporosis screening. Code the reason for the encounter.
When to use each related code
| Description |
|---|
| Osteoporosis Screening |
| Osteoporosis |
| Osteopenia |
Incorrect CPT code selection for DEXA scans (e.g., 77080 vs. 77081) based on skeletal sites imaged, impacting reimbursement and compliance.
Lack of documented diagnostic criteria (e.g., T-scores, FRAX score) for osteoporosis (M80.-, M81.-) leading to coding and CDI queries.
Confusing screening (Z codes) with diagnostic osteoporosis codes when the DEXA scan is medically necessary, affecting risk adjustment and quality reporting.
Patient presents for osteoporosis screening due to concerns about bone health, family history of osteoporosis, and increasing age. Risk factors assessed included age, gender, family history, previous fracture, low body weight, smoking history, glucocorticoid use, and alcohol consumption. The patient's FRAX score was calculated to estimate the 10-year probability of major osteoporotic fracture and hip fracture. Dual-energy X-ray absorptiometry (DXA) scan of the lumbar spine and femoral neck was ordered and scheduled. Patient education provided on calcium and vitamin D intake, weight-bearing exercise, fall prevention strategies, and the importance of follow-up for DXA scan results review and potential osteoporosis treatment if indicated. Diagnosis codes considered include Z13.820 Encounter for screening for osteoporosis, and appropriate ICD-10-CM codes for identified risk factors. Medical billing codes will reflect the evaluation and management services provided, along with the DXA scan procedure codes. Follow-up appointment scheduled to discuss results and formulate a management plan based on bone mineral density T-scores and WHO diagnostic criteria for osteoporosis, osteopenia, or normal bone density. This may include discussion regarding pharmacologic interventions such as bisphosphonates, denosumab, or other osteoporosis medications if necessary. Patient understanding of osteoporosis prevention and treatment options was confirmed.