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National Coverage Determination
Procedure Code:
8XXXX
Bone Mineral Density
CMS Policy Number: 150.3
Back to NCD List
Frequency Limitations: CPT 77080 and 77085 with the diagnoses below do not have a frequency:
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.
| E21.0 | 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 |
.... and many more.
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