For Screening, I would use the V82.81 as the Primary Dx, followed by the 733.00 if the results are Osteoporosis. If it is a Screening because the patient is post-menopausal, then I would code the V82.81 and V49.81. What I read is that if you are billing a Screening, you must use the Screening code as well as the reason that Osteoporosis is suspected.
I would also make sure that the Dr. is ordering this as a Screening, I have seen many Dr.s that aren't, which means it cannot be billed as such and then the patient will be billed.
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