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Home/Diagnosis/ICD-10 Coding for Peripheral DEXA Scan

ICD-10 Coding for Peripheral DEXA Scan

M81.0
Z13.820

Complete ICD-10-CM coding and documentation guide for icd-10 coding for peripheral dexa scan includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Peripheral DXA
Appendicular Skeleton Bone Density Test
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Key Information: ICD-10 Coding for Peripheral DEXA Scan

Essential facts and insights about ICD-10 Coding for Peripheral DEXA Scan

Use ICD-10 code M81.0 for osteoporosis without current pathological fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Osteoporosis without current pathological fracture

Billable Code
M81.0
Billable

Diagnostic Criteria

clinical:
  • • Patient is postmenopausal with a T-score ≤ -2.5.
coding:
  • • No current fractures present.

Applicable To

  • • Senile osteoporosis
  • • Postmenopausal osteoporosis

Important Notes

  • • Ensure documentation specifies no current fractures.

Encounter for screening for osteoporosis

Billable Code
Z13.820
Billable

Diagnostic Criteria

clinical:
  • • Routine screening in postmenopausal women
  • • Family history of osteoporosis

Applicable To

  • • Screening for osteoporosis

Important Notes

  • • Ensure documentation reflects screening intent.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.820

Encounter for screening for osteoporosis

Use for screening visits without a diagnosis of osteoporosis.

Frequently Asked Questions

What is CPT code 77081 used for?

CPT code 77081 is used for peripheral DEXA scans to measure bone density in appendicular sites like the wrist or heel, often for osteoporosis screening.

How often does Medicare cover DEXA scans?

Medicare covers DEXA scans every 24 months, or more frequently if risk factors like steroid use are documented.

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