decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 6 (June)
Medicare expands pool of BMM patients, but reduces fee
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Article Overview
This article explains a Medicare update to bone mass measurement coverage for osteoporosis patients receiving steroid therapy, along with the related reduction in payment and the change in the payable procedure code. It is relevant for clinicians, orthopedics practices, and medical coders who need to understand the policy source, diagnosis support, and claim-processing implications tied to this service.
Why This Topic Matters
The update changes both who may qualify for the service and how claims are paid, so it affects coverage review, documentation, and reimbursement workflows for practices that bill Medicare for osteoporosis monitoring.
What You Will Learn
- What Medicare changed in bone mass measurement coverage for patients on steroid therapy
- Which policy sources and implementation timing are referenced
- How the article frames payment and claim denial considerations for this service
- Which diagnosis categories are associated with coverage support in the article
Who Should Read This
- Medical coders
- Billing staff
- Orthopedics practices
- Osteoporosis care providers
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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