Find information on Peripheral DEXA Scan diagnosis, including ICD-10 codes, medical coding guidelines, and clinical documentation requirements. Learn about healthcare procedures related to bone density testing, osteoporosis screening, and fracture risk assessment. This resource provides details on Peripheral DEXA Scan interpretation, Z-scores, T-scores, and best practices for accurate medical record keeping. Explore relevant information for physicians, healthcare providers, and medical coders.
Also known as
Factors influencing health status
Encounters for health screenings and checkups.
Disorders of bone density and structure
Includes osteoporosis and other bone density issues.
Symptoms, signs and abnormal clinical
Covers abnormal findings not classified elsewhere.
When to use each related code
| Description |
|---|
| Peripheral DEXA Scan |
| Osteoporosis |
| Osteopenia |
Using a code for axial DEXA instead of peripheral, leading to claim denials or inaccurate reimbursement.
Failing to specify left, right, or bilateral for peripheral DEXA scans, causing claim rejection.
Lack of proper documentation supporting the medical necessity of the peripheral DEXA scan, resulting in denial.
Peripheral dual-energy x-ray absorptiometry (DXA) scan of the forearm, heel, or finger was performed to assess bone mineral density (BMD) and evaluate for osteoporosis, osteopenia, and fracture risk. Patient presents with [indicate reason for scan, e.g., low-trauma fracture, family history of osteoporosis, advanced age, prolonged corticosteroid use, or as part of a routine health screening]. The scan results indicate a T-score of [insert T-score value] at the [specify site: distal radius, calcaneus, or finger]. Z-score was [insert Z-score value]. Based on the World Health Organization (WHO) criteria, the patient's BMD is classified as [normal, osteopenia, or osteoporosis]. This diagnosis was made in accordance with International Society for Clinical Densitometry (ISCD) guidelines. The patient was counseled on the significance of the findings and provided with information on lifestyle modifications, including diet rich in calcium and vitamin D, weight-bearing exercise, and fall prevention strategies. Further evaluation with a central DXA scan [may or may not be] recommended to assess BMD at the hip and lumbar spine. Treatment options, including pharmacologic interventions such as bisphosphonates or other antiresorptive therapies, will be discussed with the patient at a follow-up appointment based on complete evaluation and risk factors. Medical coding will utilize appropriate ICD-10 codes for the diagnosis (e.g., M80.0, M81.0, Z13.820) and CPT codes for the procedure (e.g., 77080, 77081, 77082), ensuring accurate billing and reimbursement.