Radiology Services / Bone mass measurements

Why This Topic Matters

Bone mass measurement coverage depends on specific Medicare benefit criteria, documentation, and timing rules. Understanding the scope of this guidance helps support compliant billing and correct identification of covered services.

Article Sections

1. Coverage overview

   Introduces the Medicare basis for standardized coverage of bone mass measurement services and the effective date of the policy.

2. Paymented services and qualifying criteria

   Summarizes the general requirements for covered bone mass measurement procedures, including the type of service, equipment, interpretation, ordering, supervision, and frequency-related conditions.

3. Estrogen replacement therapy (ERT)

   Discusses coverage considerations for beneficiaries receiving estrogen replacement therapy and the related documentation expectations.

4. Frequency Standard

   Describes the general timing standard for repeat bone mass measurements and the situations in which more frequent testing may be considered.

5. Payment rules

   Covers general Medicare payment, deductible, coinsurance, and assignment-related billing considerations for these services.