by Lori | Mar 17, 2011 | Medicare payment basics
Bone Mass Measurements Medicare covers bone mass measurements to determine whether you are at risk for a fracture (broken bone). People are at risk for fractures because of osteoporosis. Osteoporosis is a disease in which your bones become weak. In general, the lower...
by Lori | Sep 26, 2010 | Medicare payment basics
The following BMMs are noncovered under Medicare because they are not considered reasonable and necessary under section 1862(a)(1)(A) of the Act. • Single photon absorptiometry (effective January 1, 2007). • Dual photon absorptiometry (established in...
by Lori | Sep 16, 2010 | Medicare payment basics
REIMBURSEMENT CODES FOR BONE DENSITOMETRY The new Balanced Budget Amendment, signed into law, mandates preventative care for high risk individuals, and guarantees Bone Density Reimbursement even if the test is negative and also requires all states to pay for the codes...
by Lori | Sep 16, 2010 | Medicare payment basics
BMM Test • Certain BMM tests are covered when used to screen patients for osteoporosis subject to the frequency standards described in chapter 15, section 80.5.5 of the Medicare Benefit Policy Manual. o...
by Lori | Sep 16, 2010 | Medicare payment basics
Effective for dates of services on and after January 1, 2007, the following changes apply to BMM: • New 2007 CPT bone mass procedure codes have been assigned for BMM. The following codes will replace current codes, however the CPT descriptors for the services remain...
