pmogel
Guest
Our radiologist sends us a minimal report to code DXA but sends a full report to the ordering physician. We have asked for the full report but she says what she sends us should be sufficient. I can't find a solid guideline from a reputable source that tells us what elements should be in a DXA report in order to compliantly code.
This is what we get from the radiologist:
EXAM: MA Digital Bone Density Axial
Clinical History: Post menopausal. Osteopenia. On calcium replacement.
The BMD T-score of -2.3 is classified as osteopenic according to World Health Organization Guidelines.
Fracture risk is moderate.
A formal report will follow.
Does this appear to be sufficient to code?
I appreciate any input!
Patty Mogel, CPC
This is what we get from the radiologist:
EXAM: MA Digital Bone Density Axial
Clinical History: Post menopausal. Osteopenia. On calcium replacement.
The BMD T-score of -2.3 is classified as osteopenic according to World Health Organization Guidelines.
Fracture risk is moderate.
A formal report will follow.
Does this appear to be sufficient to code?
I appreciate any input!
Patty Mogel, CPC