• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 30th Nov, 2021. The site will be offline from 8:30PM (MT) till 10:30 PM MT. We apologize for any inconvenience this may cause.

V82.81 - know your opinion

caroline

Guru
Messages
120
Best answers
0
Hi-
I've seen many post on this topic and would like to know your opinion on the below scenario:

CIGNA Patient:
If the patient had a screening bone density in 2009, in which the report stated "indicative of osteopenia" Impression: Oteopenia of the lumbar spine and due to results physician advised patient to take CalMag and Vit D.
Now patient came back for another screening- bone density in 2011.

Should the 2011 bone density be billed with osteopenia diagnoisis as primary, because of previous 2009 results? This should not be considered as screening? Correct?
I would think so since the diagnosis was established in 2009. It should be noted as a diagnostic bone density? Do you agree?
Also, 2011 bone density report results indciate Ostepenia of the lumbar spine and left hip.

I would appreciate any assistance.
Thank you,
Caroline
 

mitchellde

True Blue
Messages
13,505
Location
Columbia, MO
Best answers
2
It is definitely not screening, it could be coded as a followup or the Coding Clinic states to code it as V58.83 with the V58.69 but there were no prescription meds ordered. You could try the osteopenia dx code or you could look for a followup code along with the osteopenia.
 
Top