Our drs. are pathologists, not strictly ortho, but we do work on bone & articular cartilage specimens. From what I can see in ICD-9, osteopenia is coded the same as osteoporosis. Your docs may have a preference for 733.90 for this condition, but since 733.09 is very nearly the same (except that it gets your claim paid!), you may want to go over both code descriptions with your docs with an eye to adjusting their attitude & allowing the claim to carry a code that the payor(s) want to see. Some payors just want certain conditions linked to certain codes, even if there is more than one diagnosis code that might be applicable. You can be compliant and still make them happy, and collect revenue.
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