CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019
2018

ASC Fee Schedule

2019
2018

APC Codes

2019
2018

DRG Codes

2019
2018

ASP Drug Pricing Files

January 2019
October 2018


CMS Transmittals



National Coverage Determination
Procedure Code: 77081
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.

ICD-10Descriptor
E21.0 Primary hyperparathyroidism
E21.3 Hyperparathyroidism, unspecified
E23.0 Hypopituitarism
E24.0 Pituitary-dependent Cushing's disease
E24.2 Drug-induced Cushing's syndrome
E24.3 Ectopic ACTH syndrome
E24.4 Alcohol-induced pseudo-Cushing's syndrome
E24.8 Other Cushing's syndrome
E24.9 Cushing's syndrome, unspecified
E28.310 Symptomatic premature menopause
E28.319 Asymptomatic premature menopause
E28.39 Other primary ovarian failure
E34.2 Ectopic hormone secretion, not elsewhere classified
E89.40 Asymptomatic postprocedural ovarian failure
E89.41 Symptomatic postprocedural ovarian failure
M48.40XA Fatigue fracture of vertebra, site unsp, init for fx
M48.41XA Fatigue fracture of vertebra, occipt-atlan-ax region, init
M48.42XA Fatigue fracture of vertebra, cervical region, init for fx
M48.43XA Fatigue fracture of vertebra, cervicothoracic region, init
M48.44XA Fatigue fracture of vertebra, thoracic region, init for fx
M48.45XA Fatigue fracture of vertebra, thoracolumbar region, init
M48.46XA Fatigue fracture of vertebra, lumbar region, init for fx
M48.47XA Fatigue fracture of vertebra, lumbosacral region, init
M48.48XA Fatigue fracture of vertebra, sacr/sacrocygl region, init
M48.50XA Collapsed vertebra, NEC, site unsp, init
M48.51XA Collapsed vertebra, NEC, occipito-atlanto-axial region, init
M48.52XA Collapsed vertebra, NEC, cervical region, init
M48.53XA Collapsed vertebra, NEC, cervicothoracic region, init
M48.54XA Collapsed vertebra, NEC, thoracic region, init
M48.55XA Collapsed vertebra, NEC, thoracolumbar region, init
M48.56XA Collapsed vertebra, NEC, lumbar region, init
M48.57XA Collapsed vertebra, NEC, lumbosacral region, init
M48.58XA Collapsed vertebra, NEC, sacr/sacrocygl region, init
M80.08XA Age-rel osteopor w current path fracture, vertebra(e), init
M80.88XA Oth osteopor w current path fracture, vertebra(e), init
M81.0 Age-related osteoporosis w/o current pathological fracture
M81.6 Localized osteoporosis [Lequesne]
M81.8 Other osteoporosis without current pathological fracture
M84.58XA Pathological fracture in neoplastic disease, oth site, init
M84.68XA Pathological fracture in oth disease, oth site, init for fx
M85.811 Oth disrd of bone density and structure, right shoulder
M85.812 Oth disrd of bone density and structure, left shoulder
M85.821 Oth disrd of bone density and structure, right upper arm
M85.822 Oth disrd of bone density and structure, left upper arm
M85.831 Oth disrd of bone density and structure, right forearm
M85.832 Oth disrd of bone density and structure, left forearm
M85.841 Oth disrd of bone density and structure, right hand
M85.842 Oth disrd of bone density and structure, left hand
M85.851 Oth disrd of bone density and structure, right thigh
M85.852 Oth disrd of bone density and structure, left thigh
M85.861 Oth disrd of bone density and structure, right lower leg
M85.862 Oth disrd of bone density and structure, left lower leg
M85.871 Oth disrd of bone density and structure, right ank/ft
M85.872 Oth disrd of bone density and structure, left ankle and foot
M85.88 Oth disrd of bone density and structure, other site
M85.89 Oth disrd of bone density and structure, multiple sites
M85.9 Disorder of bone density and structure, unspecified
M89.9 Disorder of bone, unspecified
M94.9 Disorder of cartilage, unspecified
N95.8 Other specified menopausal and perimenopausal disorders
N95.9 Unspecified menopausal and perimenopausal disorder
Q55.4 Oth congen malform of vas def,epidid, semnl vescl & prostate
Q78.0 Osteogenesis imperfecta
Q96.0 Karyotype 45, X
Q96.1 Karyotype 46, X iso (Xq)
Q96.2 Karyotype 46, X w abnormal sex chromosome, except iso (Xq)
Q96.3 Mosaicism, 45, X/46, XX or XY
Q96.4 Mosaic, 45, X/other cell line(s) w abnormal sex chromosome
Q96.8 Other variants of Turner's syndrome
Q96.9 Turner's syndrome, unspecified
S12.000A Unsp disp fx of first cervical vertebra, init for clos fx
S12.000B Unsp disp fx of first cervical vertebra, init for opn fx
S12.001A Unsp nondisp fx of first cervical vertebra, init for clos fx
S12.001B Unsp nondisp fx of first cervical vertebra, init for opn fx
S12.01XA Stable burst fracture of first cervical vertebra, init
S12.01XB Stable burst fx first cervcal vertebra, init for opn fx
S12.02XA Unstable burst fracture of first cervical vertebra, init
S12.02XB Unstable burst fx first cervcal vertebra, init for opn fx
S12.030A Displaced posterior arch fx first cervcal vertebra, init
S12.030B Displ post arch fx first cervcal vertebra, init for opn fx
S12.031A Nondisp posterior arch fx first cervcal vertebra, init
S12.031B Nondisp post arch fx first cervcal vertebra, init for opn fx
S12.040A Displaced lateral mass fx first cervcal vertebra, init
S12.040B Displ lateral mass fx first cervcal vert, init for opn fx
S12.041A Nondisp lateral mass fx first cervcal vertebra, init
S12.041B Nondisp lateral mass fx first cervcal vert, init for opn fx
S12.090A Oth disp fx of first cervical vertebra, init for clos fx
S12.090B Oth disp fx of first cervical vertebra, init for opn fx
S12.091A Oth nondisp fx of first cervical vertebra, init for clos fx
S12.091B Oth nondisp fx of first cervical vertebra, init for opn fx
S12.100A Unsp disp fx of second cervical vertebra, init for clos fx
S12.100B Unsp disp fx of second cervical vertebra, init for opn fx
S12.101A Unsp nondisp fx of second cervical vertebra, init
S12.101B Unsp nondisp fx of second cervical vertebra, init for opn fx
S12.110A Anterior displaced Type II dens fracture, init for clos fx
S12.110B Anterior displaced Type II dens fracture, init for opn fx
S12.111A Posterior displaced Type II dens fracture, init for clos fx
S12.111B Posterior displaced Type II dens fracture, init for opn fx
S12.112A Nondisplaced Type II dens fracture, init for clos fx
S12.112B Nondisplaced Type II dens fracture, init for opn fx
S12.120A Oth displaced dens fracture, init encntr for closed fracture
S12.120B Other displaced dens fracture, init encntr for open fracture
S12.121A Oth nondisplaced dens fracture, init for clos fx
S12.121B Oth nondisplaced dens fracture, init for opn fx
S12.130A Unsp traum displ spondylolysis of second cervcal vert, init
S12.130B Unsp traum displ spondylolysis of 2nd cervcal vert, 7thB
S12.131A Unsp traum nondisp spondylolysis of 2nd cervcal vert, init
S12.131B Unsp traum nondisp spondylolysis of 2nd cervcal vert, 7thB
S12.14XA Type III traum spondylolysis of second cervcal vert, init
S12.14XB Type III traum spondylolysis of 2nd cervcal vert, 7thB
S12.150A Oth traum displ spondylolysis of second cervcal vert, init
S12.150B Oth traum displ spondylolysis of 2nd cervcal vert, 7thB
S12.151A Oth traum nondisp spondylolysis of second cervcal vert, init
S12.151B Oth traum nondisp spondylolysis of 2nd cervcal vert, 7thB
S12.190A Oth disp fx of second cervical vertebra, init for clos fx
S12.190B Oth disp fx of second cervical vertebra, init for opn fx
S12.191A Oth nondisp fx of second cervical vertebra, init for clos fx
S12.191B Oth nondisp fx of second cervical vertebra, init for opn fx
S12.200A Unsp disp fx of third cervical vertebra, init for clos fx
S12.200B Unsp disp fx of third cervical vertebra, init for opn fx
S12.201A Unsp nondisp fx of third cervical vertebra, init for clos fx
S12.201B Unsp nondisp fx of third cervical vertebra, init for opn fx
S12.230A Unsp traum displ spondylolysis of third cervcal vert, init
S12.230B Unsp traum displ spondylolysis of 3rd cervcal vert, 7thB
S12.231A Unsp traum nondisp spondylolysis of third cervcal vert, init
S12.231B Unsp traum nondisp spondylolysis of 3rd cervcal vert, 7thB
S12.24XA Type III traum spondylolysis of third cervcal vertebra, init
S12.24XB Type III traum spondylolysis of 3rd cervcal vert, 7thB
S12.250A Oth traum displ spondylolysis of third cervcal vert, init
S12.250B Oth traum displ spondylolysis of 3rd cervcal vert, 7thB
S12.251A Oth traum nondisp spondylolysis of third cervcal vert, init
S12.251B Oth traum nondisp spondylolysis of 3rd cervcal vert, 7thB
S12.290A Oth disp fx of third cervical vertebra, init for clos fx
S12.290B Oth disp fx of third cervical vertebra, init for opn fx
S12.291A Oth nondisp fx of third cervical vertebra, init for clos fx
S12.291B Oth nondisp fx of third cervical vertebra, init for opn fx
S12.300A Unsp disp fx of fourth cervical vertebra, init for clos fx
S12.300B Unsp disp fx of fourth cervical vertebra, init for opn fx
S12.301A Unsp nondisp fx of fourth cervical vertebra, init
S12.301B Unsp nondisp fx of fourth cervical vertebra, init for opn fx
S12.330A Unsp traum displ spondylolysis of fourth cervcal vert, init
S12.330B Unsp traum displ spondylolysis of 4th cervcal vert, 7thB
S12.331A Unsp traum nondisp spondylolysis of 4th cervcal vert, init
S12.331B Unsp traum nondisp spondylolysis of 4th cervcal vert, 7thB
S12.34XA Type III traum spondylolysis of fourth cervcal vert, init
S12.34XB Type III traum spondylolysis of 4th cervcal vert, 7thB
S12.350A Oth traum displ spondylolysis of fourth cervcal vert, init
S12.350B Oth traum displ spondylolysis of 4th cervcal vert, 7thB
S12.351A Oth traum nondisp spondylolysis of fourth cervcal vert, init
S12.351B Oth traum nondisp spondylolysis of 4th cervcal vert, 7thB
S12.390A Oth disp fx of fourth cervical vertebra, init for clos fx
S12.390B Oth disp fx of fourth cervical vertebra, init for opn fx
S12.391A Oth nondisp fx of fourth cervical vertebra, init for clos fx
S12.391B Oth nondisp fx of fourth cervical vertebra, init for opn fx
S12.400A Unsp disp fx of fifth cervical vertebra, init for clos fx
S12.400B Unsp disp fx of fifth cervical vertebra, init for opn fx
S12.401A Unsp nondisp fx of fifth cervical vertebra, init for clos fx
S12.401B Unsp nondisp fx of fifth cervical vertebra, init for opn fx
S12.430A Unsp traum displ spondylolysis of fifth cervcal vert, init
S12.430B Unsp traum displ spondylolysis of 5th cervcal vert, 7thB
S12.431A Unsp traum nondisp spondylolysis of fifth cervcal vert, init
S12.431B Unsp traum nondisp spondylolysis of 5th cervcal vert, 7thB
S12.44XA Type III traum spondylolysis of fifth cervcal vertebra, init
S12.44XB Type III traum spondylolysis of 5th cervcal vert, 7thB
S12.450A Oth traum displ spondylolysis of fifth cervcal vert, init
S12.450B Oth traum displ spondylolysis of 5th cervcal vert, 7thB
S12.451A Oth traum nondisp spondylolysis of fifth cervcal vert, init
S12.451B Oth traum nondisp spondylolysis of 5th cervcal vert, 7thB
S12.490A Oth disp fx of fifth cervical vertebra, init for clos fx
S12.490B Oth disp fx of fifth cervical vertebra, init for opn fx
S12.491A Oth nondisp fx of fifth cervical vertebra, init for clos fx
S12.491B Oth nondisp fx of fifth cervical vertebra, init for opn fx
S12.500A Unsp disp fx of sixth cervical vertebra, init for clos fx
S12.500B Unsp disp fx of sixth cervical vertebra, init for opn fx
S12.501A Unsp nondisp fx of sixth cervical vertebra, init for clos fx
S12.501B Unsp nondisp fx of sixth cervical vertebra, init for opn fx
S12.530A Unsp traum displ spondylolysis of sixth cervcal vert, init
S12.530B Unsp traum displ spondylolysis of sixth cervcal vert, 7thB
S12.531A Unsp traum nondisp spondylolysis of sixth cervcal vert, init
S12.531B Unsp traum nondisp spondylolysis of sixth cervcal vert, 7thB
S12.54XA Type III traum spondylolysis of sixth cervcal vertebra, init
S12.54XB Type III traum spondylolysis of sixth cervcal vert, 7thB
S12.550A Oth traum displ spondylolysis of sixth cervcal vert, init
S12.550B Oth traum displ spondylolysis of sixth cervcal vert, 7thB
S12.551A Oth traum nondisp spondylolysis of sixth cervcal vert, init
S12.551B Oth traum nondisp spondylolysis of sixth cervcal vert, 7thB
S12.590A Oth disp fx of sixth cervical vertebra, init for clos fx
S12.590B Oth disp fx of sixth cervical vertebra, init for opn fx
S12.591A Oth nondisp fx of sixth cervical vertebra, init for clos fx
S12.591B Oth nondisp fx of sixth cervical vertebra, init for opn fx
S12.600A Unsp disp fx of seventh cervical vertebra, init for clos fx
S12.600B Unsp disp fx of seventh cervical vertebra, init for opn fx
S12.601A Unsp nondisp fx of seventh cervical vertebra, init
S12.601B Unsp nondisp fx of seventh cervcal vertebra, init for opn fx
S12.630A Unsp traum displ spondylolysis of seventh cervcal vert, init
S12.630B Unsp traum displ spondylolysis of 7th cervcal vert, 7thB
S12.631A Unsp traum nondisp spondylolysis of 7th cervcal vert, init
S12.631B Unsp traum nondisp spondylolysis of 7th cervcal vert, 7thB
S12.64XA Type III traum spondylolysis of seventh cervcal vert, init
S12.64XB Type III traum spondylolysis of 7th cervcal vert, 7thB
S12.650A Oth traum displ spondylolysis of seventh cervcal vert, init
S12.650B Oth traum displ spondylolysis of 7th cervcal vert, 7thB
S12.651A Oth traum nondisp spondylolysis of 7th cervcal vert, init
S12.651B Oth traum nondisp spondylolysis of 7th cervcal vert, 7thB
S12.690A Oth disp fx of seventh cervical vertebra, init for clos fx
S12.690B Oth disp fx of seventh cervical vertebra, init for opn fx
S12.691A Oth nondisp fx of seventh cervical vertebra, init
S12.691B Oth nondisp fx of seventh cervical vertebra, init for opn fx
S12.9XXA Fracture of neck, unspecified, initial encounter
S14.101A Unsp injury at C1 level of cervical spinal cord, init encntr
S14.102A Unsp injury at C2 level of cervical spinal cord, init encntr
S14.103A Unsp injury at C3 level of cervical spinal cord, init encntr
S14.104A Unsp injury at C4 level of cervical spinal cord, init encntr
S14.105A Unsp injury at C5 level of cervical spinal cord, init encntr
S14.106A Unsp injury at C6 level of cervical spinal cord, init encntr
S14.107A Unsp injury at C7 level of cervical spinal cord, init encntr
S14.109A Unsp injury at unsp level of cervical spinal cord, init
S14.111A Complete lesion at C1 level of cervical spinal cord, init
S14.112A Complete lesion at C2 level of cervical spinal cord, init
S14.113A Complete lesion at C3 level of cervical spinal cord, init
S14.114A Complete lesion at C4 level of cervical spinal cord, init
S14.115A Complete lesion at C5 level of cervical spinal cord, init
S14.116A Complete lesion at C6 level of cervical spinal cord, init
S14.117A Complete lesion at C7 level of cervical spinal cord, init
S14.121A Central cord syndrome at C1, init
S14.122A Central cord syndrome at C2, init
S14.123A Central cord syndrome at C3, init
S14.124A Central cord syndrome at C4, init
S14.125A Central cord syndrome at C5, init
S14.126A Central cord syndrome at C6, init
S14.127A Central cord syndrome at C7, init
S14.131A Anterior cord syndrome at C1, init
S14.132A Anterior cord syndrome at C2, init
S14.133A Anterior cord syndrome at C3, init
S14.134A Anterior cord syndrome at C4, init
S14.135A Anterior cord syndrome at C5, init
S14.136A Anterior cord syndrome at C6, init
S14.137A Anterior cord syndrome at C7, init
S14.151A Oth incomplete lesion at C1, init
S14.152A Oth incomplete lesion at C2, init
S14.153A Oth incomplete lesion at C3, init
S14.154A Oth incomplete lesion at C4, init
S14.155A Oth incomplete lesion at C5, init
S14.156A Oth incomplete lesion at C6, init
S14.157A Oth incomplete lesion at C7, init
S22.000A Wedge compression fracture of unsp thoracic vertebra, init
S22.000B Wedge comprsn fx unsp thor vertebra, init for opn fx
S22.001A Stable burst fracture of unsp thoracic vertebra, init
S22.001B Stable burst fracture of unsp thor vertebra, init for opn fx
S22.002A Unstable burst fracture of unsp thoracic vertebra, init
S22.002B Unstable burst fx unsp thor vertebra, init for opn fx
S22.008A Oth fracture of unsp thoracic vertebra, init for clos fx
S22.008B Oth fracture of unsp thoracic vertebra, init for opn fx
S22.009A Unsp fracture of unsp thoracic vertebra, init for clos fx
S22.009B Unsp fracture of unsp thoracic vertebra, init for opn fx
S22.010A Wedge compression fracture of first thoracic vertebra, init
S22.010B Wedge comprsn fx first thor vertebra, init for opn fx
S22.011A Stable burst fracture of first thoracic vertebra, init
S22.011B Stable burst fx first thor vertebra, init for opn fx
S22.012A Unstable burst fracture of first thoracic vertebra, init
S22.012B Unstable burst fx first thor vertebra, init for opn fx
S22.018A Oth fracture of first thoracic vertebra, init for clos fx
S22.018B Oth fracture of first thoracic vertebra, init for opn fx
S22.019A Unsp fracture of first thoracic vertebra, init for clos fx
S22.019B Unsp fracture of first thoracic vertebra, init for opn fx
S22.020A Wedge compression fracture of second thoracic vertebra, init
S22.020B Wedge comprsn fx second thor vertebra, init for opn fx
S22.021A Stable burst fracture of second thoracic vertebra, init
S22.021B Stable burst fx second thor vertebra, init for opn fx
S22.022A Unstable burst fracture of second thoracic vertebra, init
S22.022B Unstable burst fx second thor vertebra, init for opn fx
S22.028A Oth fracture of second thoracic vertebra, init for clos fx
S22.028B Oth fracture of second thoracic vertebra, init for opn fx
S22.029A Unsp fracture of second thoracic vertebra, init for clos fx
S22.029B Unsp fracture of second thoracic vertebra, init for opn fx
S22.030A Wedge compression fracture of third thoracic vertebra, init
S22.030B Wedge comprsn fx third thor vertebra, init for opn fx
S22.031A Stable burst fracture of third thoracic vertebra, init
S22.031B Stable burst fx third thor vertebra, init for opn fx
S22.032A Unstable burst fracture of third thoracic vertebra, init
S22.032B Unstable burst fx third thor vertebra, init for opn fx
S22.038A Oth fracture of third thoracic vertebra, init for clos fx
S22.038B Oth fracture of third thoracic vertebra, init for opn fx
S22.039A Unsp fracture of third thoracic vertebra, init for clos fx
S22.039B Unsp fracture of third thoracic vertebra, init for opn fx
S22.040A Wedge compression fracture of fourth thoracic vertebra, init
S22.040B Wedge comprsn fx fourth thor vertebra, init for opn fx
S22.041A Stable burst fracture of fourth thoracic vertebra, init
S22.041B Stable burst fx fourth thor vertebra, init for opn fx
S22.042A Unstable burst fracture of fourth thoracic vertebra, init
S22.042B Unstable burst fx fourth thor vertebra, init for opn fx
S22.048A Oth fracture of fourth thoracic vertebra, init for clos fx
S22.048B Oth fracture of fourth thoracic vertebra, init for opn fx
S22.049A Unsp fracture of fourth thoracic vertebra, init for clos fx
S22.049B Unsp fracture of fourth thoracic vertebra, init for opn fx
S22.050A Wedge compression fracture of T5-T6 vertebra, init
S22.050B Wedge comprsn fracture of T5-T6 vertebra, init for opn fx
S22.051A Stable burst fracture of T5-T6 vertebra, init for clos fx
S22.051B Stable burst fracture of T5-T6 vertebra, init for opn fx
S22.052A Unstable burst fracture of T5-T6 vertebra, init for clos fx
S22.052B Unstable burst fracture of T5-T6 vertebra, init for opn fx
S22.058A Oth fracture of T5-T6 vertebra, init for clos fx
S22.058B Oth fracture of T5-T6 vertebra, init for opn fx
S22.059A Unsp fracture of T5-T6 vertebra, init for clos fx
S22.059B Unsp fracture of T5-T6 vertebra, init for opn fx
S22.060A Wedge compression fracture of T7-T8 vertebra, init
S22.060B Wedge comprsn fracture of T7-T8 vertebra, init for opn fx
S22.061A Stable burst fracture of T7-T8 vertebra, init for clos fx
S22.061B Stable burst fracture of T7-T8 vertebra, init for opn fx
S22.062A Unstable burst fracture of T7-T8 vertebra, init for clos fx
S22.062B Unstable burst fracture of T7-T8 vertebra, init for opn fx
S22.068A Oth fracture of T7-T8 thoracic vertebra, init for clos fx
S22.068B Oth fracture of T7-T8 thoracic vertebra, init for opn fx
S22.069A Unsp fracture of T7-T8 vertebra, init for clos fx
S22.069B Unsp fracture of T7-T8 vertebra, init for opn fx
S22.070A Wedge compression fracture of T9-T10 vertebra, init
S22.070B Wedge comprsn fracture of T9-T10 vertebra, init for opn fx
S22.071A Stable burst fracture of T9-T10 vertebra, init for clos fx
S22.071B Stable burst fracture of T9-T10 vertebra, init for opn fx
S22.072A Unstable burst fracture of T9-T10 vertebra, init for clos fx
S22.072B Unstable burst fracture of T9-T10 vertebra, init for opn fx
S22.078A Oth fracture of T9-T10 vertebra, init for clos fx
S22.078B Oth fracture of T9-T10 vertebra, init for opn fx
S22.079A Unsp fracture of T9-T10 vertebra, init for clos fx
S22.079B Unsp fracture of T9-T10 vertebra, init for opn fx
S22.080A Wedge compression fracture of T11-T12 vertebra, init
S22.080B Wedge comprsn fracture of T11-T12 vertebra, init for opn fx
S22.081A Stable burst fracture of T11-T12 vertebra, init for clos fx
S22.081B Stable burst fracture of T11-T12 vertebra, init for opn fx
S22.082A Unstable burst fracture of T11-T12 vertebra, init
S22.082B Unstable burst fracture of T11-T12 vertebra, init for opn fx
S22.088A Oth fracture of T11-T12 vertebra, init for clos fx
S22.088B Oth fracture of T11-T12 vertebra, init for opn fx
S22.089A Unsp fracture of T11-T12 vertebra, init for clos fx
S22.089B Unsp fracture of T11-T12 vertebra, init for opn fx
S24.101A Unsp injury at T1 level of thoracic spinal cord, init encntr
S24.102A Unsp injury at T2-T6 level of thoracic spinal cord, init
S24.103A Unsp injury at T7-T10 level of thoracic spinal cord, init
S24.104A Unsp injury at T11-T12 level of thoracic spinal cord, init
S24.109A Unsp injury at unsp level of thoracic spinal cord, init
S24.111A Complete lesion at T1 level of thoracic spinal cord, init
S24.112A Complete lesion at T2-T6 level of thoracic spinal cord, init
S24.113A Complete lesion at T7-T10, init
S24.114A Complete lesion at T11-T12, init
S24.131A Anterior cord syndrome at T1, init
S24.132A Anterior cord syndrome at T2-T6, init
S24.133A Anterior cord syndrome at T7-T10, init
S24.134A Anterior cord syndrome at T11-T12, init
S24.151A Oth incomplete lesion at T1, init
S24.152A Oth incomplete lesion at T2-T6, init
S24.153A Oth incomplete lesion at T7-T10, init
S24.154A Oth incomplete lesion at T11-T12, init
S32.000A Wedge compression fracture of unsp lumbar vertebra, init
S32.000B Wedge comprsn fracture of unsp lum vertebra, init for opn fx
S32.001A Stable burst fracture of unsp lumbar vertebra, init
S32.001B Stable burst fracture of unsp lum vertebra, init for opn fx
S32.002A Unstable burst fracture of unsp lumbar vertebra, init
S32.002B Unstable burst fx unsp lum vertebra, init for opn fx
S32.008A Oth fracture of unsp lumbar vertebra, init for clos fx
S32.008B Oth fracture of unsp lumbar vertebra, init for opn fx
S32.009A Unsp fracture of unsp lumbar vertebra, init for clos fx
S32.009B Unsp fracture of unsp lumbar vertebra, init for opn fx
S32.010A Wedge compression fracture of first lumbar vertebra, init
S32.010B Wedge comprsn fx first lum vertebra, init for opn fx
S32.011A Stable burst fracture of first lumbar vertebra, init
S32.011B Stable burst fracture of first lum vertebra, init for opn fx
S32.012A Unstable burst fracture of first lumbar vertebra, init
S32.012B Unstable burst fx first lum vertebra, init for opn fx
S32.018A Oth fracture of first lumbar vertebra, init for clos fx
S32.018B Oth fracture of first lumbar vertebra, init for opn fx
S32.019A Unsp fracture of first lumbar vertebra, init for clos fx
S32.019B Unsp fracture of first lumbar vertebra, init for opn fx
S32.020A Wedge compression fracture of second lumbar vertebra, init
S32.020B Wedge comprsn fx second lum vertebra, init for opn fx
S32.021A Stable burst fracture of second lumbar vertebra, init
S32.021B Stable burst fx second lum vertebra, init for opn fx
S32.022A Unstable burst fracture of second lumbar vertebra, init
S32.022B Unstable burst fx second lum vertebra, init for opn fx
S32.028A Oth fracture of second lumbar vertebra, init for clos fx
S32.028B Oth fracture of second lumbar vertebra, init for opn fx
S32.029A Unsp fracture of second lumbar vertebra, init for clos fx
S32.029B Unsp fracture of second lumbar vertebra, init for opn fx
S32.030A Wedge compression fracture of third lumbar vertebra, init
S32.030B Wedge comprsn fx third lum vertebra, init for opn fx
S32.031A Stable burst fracture of third lumbar vertebra, init
S32.031B Stable burst fracture of third lum vertebra, init for opn fx
S32.032A Unstable burst fracture of third lumbar vertebra, init
S32.032B Unstable burst fx third lum vertebra, init for opn fx
S32.038A Oth fracture of third lumbar vertebra, init for clos fx
S32.038B Oth fracture of third lumbar vertebra, init for opn fx
S32.039A Unsp fracture of third lumbar vertebra, init for clos fx
S32.039B Unsp fracture of third lumbar vertebra, init for opn fx
S32.040A Wedge compression fracture of fourth lumbar vertebra, init
S32.040B Wedge comprsn fx fourth lum vertebra, init for opn fx
S32.041A Stable burst fracture of fourth lumbar vertebra, init
S32.041B Stable burst fx fourth lum vertebra, init for opn fx
S32.042A Unstable burst fracture of fourth lumbar vertebra, init
S32.042B Unstable burst fx fourth lum vertebra, init for opn fx
S32.048A Oth fracture of fourth lumbar vertebra, init for clos fx
S32.048B Oth fracture of fourth lumbar vertebra, init for opn fx
S32.049A Unsp fracture of fourth lumbar vertebra, init for clos fx
S32.049B Unsp fracture of fourth lumbar vertebra, init for opn fx
S32.050A Wedge compression fracture of fifth lumbar vertebra, init
S32.050B Wedge comprsn fx fifth lum vertebra, init for opn fx
S32.051A Stable burst fracture of fifth lumbar vertebra, init
S32.051B Stable burst fracture of fifth lum vertebra, init for opn fx
S32.052A Unstable burst fracture of fifth lumbar vertebra, init
S32.052B Unstable burst fx fifth lum vertebra, init for opn fx
S32.058A Oth fracture of fifth lumbar vertebra, init for clos fx
S32.058B Oth fracture of fifth lumbar vertebra, init for opn fx
S32.059A Unsp fracture of fifth lumbar vertebra, init for clos fx
S32.059B Unsp fracture of fifth lumbar vertebra, init for opn fx
S32.10XA Unsp fracture of sacrum, init encntr for closed fracture
S32.10XB Unsp fracture of sacrum, init encntr for open fracture
S32.110A Nondisplaced Zone I fracture of sacrum, init for clos fx
S32.110B Nondisplaced Zone I fracture of sacrum, init for opn fx
S32.111A Minimally displaced Zone I fracture of sacrum, init
S32.111B Minimally displaced Zone I fx sacrum, init for opn fx
S32.112A Severely displaced Zone I fracture of sacrum, init
S32.112B Severely displaced Zone I fx sacrum, init for opn fx
S32.119A Unsp Zone I fracture of sacrum, init for clos fx
S32.119B Unsp Zone I fracture of sacrum, init for opn fx
S32.120A Nondisplaced Zone II fracture of sacrum, init for clos fx
S32.120B Nondisplaced Zone II fracture of sacrum, init for opn fx
S32.121A Minimally displaced Zone II fracture of sacrum, init
S32.121B Minimally displaced Zone II fx sacrum, init for opn fx
S32.122A Severely displaced Zone II fracture of sacrum, init
S32.122B Severely displaced Zone II fx sacrum, init for opn fx
S32.129A Unsp Zone II fracture of sacrum, init for clos fx
S32.129B Unsp Zone II fracture of sacrum, init for opn fx
S32.130A Nondisplaced Zone III fracture of sacrum, init for clos fx
S32.130B Nondisplaced Zone III fracture of sacrum, init for opn fx
S32.131A Minimally displaced Zone III fracture of sacrum, init
S32.131B Minimally displaced Zone III fx sacrum, init for opn fx
S32.132A Severely displaced Zone III fracture of sacrum, init
S32.132B Severely displaced Zone III fx sacrum, init for opn fx
S32.139A Unsp Zone III fracture of sacrum, init for clos fx
S32.139B Unsp Zone III fracture of sacrum, init for opn fx
S32.14XA Type 1 fracture of sacrum, init encntr for closed fracture
S32.14XB Type 1 fracture of sacrum, init encntr for open fracture
S32.15XA Type 2 fracture of sacrum, init encntr for closed fracture
S32.15XB Type 2 fracture of sacrum, init encntr for open fracture
S32.16XA Type 3 fracture of sacrum, init encntr for closed fracture
S32.16XB Type 3 fracture of sacrum, init encntr for open fracture
S32.17XA Type 4 fracture of sacrum, init encntr for closed fracture
S32.17XB Type 4 fracture of sacrum, init encntr for open fracture
S32.19XA Other fracture of sacrum, init encntr for closed fracture
S32.19XB Other fracture of sacrum, init encntr for open fracture
S32.2XXA Fracture of coccyx, initial encounter for closed fracture
S32.2XXB Fracture of coccyx, initial encounter for open fracture
S34.101A Unsp injury to L1 level of lumbar spinal cord, init encntr
S34.102A Unsp injury to L2 level of lumbar spinal cord, init encntr
S34.103A Unsp injury to L3 level of lumbar spinal cord, init encntr
S34.104A Unsp injury to L4 level of lumbar spinal cord, init encntr
S34.105A Unsp injury to L5 level of lumbar spinal cord, init encntr
S34.109A Unsp injury to unsp level of lumbar spinal cord, init encntr
S34.109A Unsp injury to unsp level of lumbar spinal cord, init encntr
S34.111A Complete lesion of L1 level of lumbar spinal cord, init
S34.112A Complete lesion of L2 level of lumbar spinal cord, init
S34.113A Complete lesion of L3 level of lumbar spinal cord, init
S34.114A Complete lesion of L4 level of lumbar spinal cord, init
S34.115A Complete lesion of L5 level of lumbar spinal cord, init
S34.119A Complete lesion of unsp level of lumbar spinal cord, init
S34.121A Incomplete lesion of L1 level of lumbar spinal cord, init
S34.122A Incomplete lesion of L2 level of lumbar spinal cord, init
S34.123A Incomplete lesion of L3 level of lumbar spinal cord, init
S34.124A Incomplete lesion of L4 level of lumbar spinal cord, init
S34.125A Incomplete lesion of L5 level of lumbar spinal cord, init
S34.129A Incomplete lesion of unsp level of lumbar spinal cord, init
S34.131A Complete lesion of sacral spinal cord, initial encounter
S34.132A Incomplete lesion of sacral spinal cord, initial encounter
S34.139A Unspecified injury to sacral spinal cord, initial encounter
S34.3XXA Injury of cauda equina, initial encounter
Z78.0 Asymptomatic menopausal state
Z79.3 Long term (current) use of hormonal contraceptives
Z79.51 Long term (current) use of inhaled steroids
Z79.52 Long term (current) use of systemic steroids
Z79.811 Long term (current) use of aromatase inhibitors
Z79.83 Long term (current) use of bisphosphonates
Z87.310 Personal history of (healed) osteoporosis fracture

The content and format of the following files and/or webpages are copywritten and the property of Wheaton Partners, LLC - dba CodeMap®. All recipients of these files agree not to distribute, reproduce and/or use the information contained within, in any manner not expressly agreed upon by the user and Wheaton Partners, LLC - dba CodeMap®.

All code-pairs and Medicare coverage information are compiled directly from Center for Medicare and Medicaid Services (CMS) and Medicare Contractor coverage policies. CodeMap® has made every reasonable effort to ensure the accuracy of the information contained. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. Both CMS and Medicare contractor coverage policy information may change at any time. CodeMap® makes no representation, warranty, or guarantee that this compilation of coverage policy information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.


CodeMap® is a Registered Trademark of Wheaton Partners, LLC.