Find information on Screening Bone Density including ICD-10 codes, Z13.82 and Z13.89, CPT codes, 77080 and 77081, medical necessity guidelines, clinical documentation requirements, DEXA scan interpretation, osteoporosis risk assessment, fracture risk assessment, and bone health. Learn about preventive measures, diagnosis coding, and best practices for healthcare professionals related to bone density screening.
Also known as
Encounter for screening for osteoporosis
Encounter for bone density screening to assess osteoporosis risk.
Encounter for other screening exam
Encounter for other specified screening exams, including bone density.
Person encountering health services
Encounter for counseling and advice related to bone density screening.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there a current medical condition?
When to use each related code
| Description |
|---|
| Screening Bone Density |
| Osteoporosis |
| Osteopenia |
Incorrect CPT code selection for bone density scans (e.g., 77080 vs. 77081), leading to claim denials and revenue loss.
Lack of documented justification for bone density screening based on risk factors (age, fracture history), triggering audits.
Inappropriate or missing modifiers (e.g., -26, -TC) impacting reimbursement and compliance with billing guidelines.
Patient presents for bone density screening due to family history of osteoporosis and increasing age. Risk factors assessed include age, gender, ethnicity, prior fracture, parental history of hip fracture, current smoking status, glucocorticoid use, rheumatoid arthritis, secondary osteoporosis, and low body weight. No current symptoms of bone pain or fractures reported. Physical examination unremarkable. Dual-energy X-ray absorptiometry (DXA) scan of the lumbar spine and femoral neck ordered to assess bone mineral density (BMD) and evaluate for osteopenia or osteoporosis. T-score and Z-score will be utilized for diagnostic classification according to WHO criteria. Patient education provided on calcium and vitamin D intake, weight-bearing exercise, fall prevention, and the importance of follow-up based on DXA results. Results will be discussed with the patient upon availability and appropriate management plan, including potential pharmacologic interventions like bisphosphonates or other bone-building medications will be determined based on BMD and fracture risk assessment using tools such as FRAX. Follow-up appointment scheduled for review of results and discussion of treatment options. ICD-10 code Z13.820 assigned for encounter for screening for osteoporosis.