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Wiki Osteoporosis and Osteopenia

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mtetreau

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In the Outpatient Ancillary setting, how would you code a DEXA result in the following circumstances: Provider orders with M81.0 as reason for admit. Report indicates no osteoporosis, but osteopenia is found in one or more sites. Can the physician's diagnosis of osteoporosis and the finding of osteopenia be coded together? I have heard different ways to do this, and I'm not finding a clear guideline.
 
The report states no osteoporosis

Osteopenia is the beginning stages of osteoporosis.

The report stated that there was no osteoporosis present, so that would not be coded, only osteopenia.

If you look up osteoporosis there is no "Excludes 1,2" for osteopenia.
 
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