Wiki Osteopenia

tristate

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Anyone having problems with coding osteopenia for Medicare patients? The book tells you to use M85.8_. I agree; however, the NCD for Medicare doesn't list it is a covered code for Bone Mass Measurement (DEXA scans) The NCD lists M85.9 as being covered, but I don't think I should use unspecified bone density disorder when it has been specified as osteopenia.
 
I have seen others mention this. It is said to be an error with CMS cross walking osteopenia from ICD-9 (which is unspecified) to ICD-10 (which is very specific) and the crosswalk not properly giving all of the ICD-10 choices.

It was suggested to contact the ombudsman if you are a provider ? per the CMS website ?Providers can contact the ICD-10 Ombudsman at ICD10_Ombudsman@cms.hhs.gov to request this be updated.
 
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