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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2024
2023

Physician Fee Schedule

2024
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OPPS Fee Schedule

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April 2024
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CMS Transmittals




National Coverage Determination
Procedure Code: 8XXXX
Bone Mineral Density
CMS Policy Number: 150.3

See also: Medicare Preventive Services

Back to NCD List

Frequency Limitations: CPT 77080 and 77085 with the diagnoses below do not have a frequency: ICD-9 255.0, 733.00, 733.01, 733.02, 733.03, 733.09, or 733.90 (ICD-10 E24.4, E24.9, E24.2, E24.3, E24.8, E24.0, M81.0, M81.8, M81.6, M89.9 and M94.9) CPT codes G0130, 77078, 77081, 76977 have a frequency of once every 23 months for screening (EXCEPT for CPT 77080 and CPT 77085) when they are reported with the ICD codes 255.0, 733.00-733.09 or 733.90 (ICD-10 E24.0 - E24.9, M81.0, M81.6, M89.9 and M94.9) G0130, 77078, 77081, 76977



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

E21.0Primary hyperparathyroidism
E21.3Hyperparathyroidism, unspecified
E23.0Hypopituitarism
E24.0Pituitary-dependent Cushing's disease
E24.2Drug-induced Cushing's syndrome
E24.3Ectopic ACTH syndrome
E24.4Alcohol-induced pseudo-Cushing's syndrome
E24.8Other Cushing's syndrome
E24.9Cushing's syndrome, unspecified
E28.310Symptomatic premature menopause
.... and many more.


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