Billing and Coding: Bone Mass Measurement

Why This Topic Matters

Bone mass measurement claims can be denied if documentation, ordering, setting, or coverage requirements are not met. This article helps readers understand the general policy framework so they can evaluate whether the full guidance applies to their billing situation.

Article Sections

1. Documentation Requirements

   General medical record elements expected to support the service are outlined, including provider assessment, history, test results, and signed records.

2. Limitations

   Coverage limitations, service restrictions, and administrative conditions for bone mass measurement are summarized, along with notes about related testing categories and claim handling.

3. Claims and billing applicability notes

   Additional guidance addresses how the coverage determination applies in different Medicare billing environments and how certain policy provisions vary by provider type and setting.