decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Appendix E - National Coverage Determinations Manual / BONE_(MINERAL)_DENSITY_STUDIES_(Effective_for_services_rendered_on_or_after_March_4,_1983)
Subscribe or sign in to view the full article.
Article Overview
This page reviews Medicare policy for bone mineral density studies under the National Coverage Determinations Manual, covering the general clinical purpose of these studies, the categories discussed in the policy, and which broad types of bone density assessment are addressed as covered or not covered. It is intended for coders, billing staff, compliance teams, and clinicians who need to understand the scope of Medicare coverage guidance for this topic. The article provides background on the study types, the clinical contexts mentioned in the policy, and the effective-date framing of the guidance without reproducing the underlying premium details.
Why This Topic Matters
Bone density testing is a common topic in coverage, medical necessity, and documentation review. Understanding the scope of this Medicare policy helps users determine whether the full article is relevant to their coding, billing, or compliance work.
Article Sections
-
Bone (Mineral) Density Studies
Introduces the Medicare coverage topic, its effective date, and the overall purpose of bone mineral density studies.
-
THE FOLLOWING BONE (MINERAL) DENSITY STUDIES ARE COVERED UNDER MEDICARE:
Summarizes the covered study categories discussed in the policy and the general circumstances addressed for each.
-
A. Single Photon Absorptiometry
Describes one of the study types discussed in the policy, including its general technical characteristics and coverage context.
-
B. Bone Biopsy
Describes the invasive bone study category discussed in the policy and its general diagnostic role.
-
C. Photo-densitometry
Describes the radiographic bone measurement approach discussed in the policy and its general monitoring use.
-
THE FOLLOWING BONE (MINERAL) DENSITY STUDY IS NOT COVERED UNDER MEDICARE:
Identifies the study category discussed as not covered and frames the reason at a high level.
-
D. Dual Photon Absorptiometry
Describes the noncovered study type discussed in the policy and its general investigational status.
What You Will Learn
- The Medicare coverage scope for bone mineral density studies
- The types of bone density assessment discussed in the policy
- The general clinical contexts referenced for bone density evaluation
- How the article distinguishes covered and noncovered study categories
- The effective-date framing associated with the policy
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Clinical documentation specialists
- Physicians and practice administrators
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com