CPT CODES

CPT Code 77082

CPT code 77082 is for a DXA scan that measures bone density to assess vertebral fractures, aiding in osteoporosis diagnosis and management.

Table of Contents
What is CPT Code 77082
Does CPT 77082 Need a Modifier?
CPT Code 77082 Medicare Reimbursement
Are You Being Underpaid for 77082 CPT Code?
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What is CPT Code 77082

CPT code 77082 is used for a DXA (Dual-energy X-ray Absorptiometry) bone density study that specifically focuses on vertebral fracture assessment. This procedure involves using a specialized X-ray technique to measure bone mineral density and assess the spine for any fractures. It is typically used to evaluate the risk of osteoporosis and fractures in patients, providing critical information for healthcare providers to develop appropriate treatment plans.

Does CPT 77082 Need a Modifier?

When considering the use of CPT codes 77081 and 77082, it's important to determine if any modifiers are necessary to accurately represent the service provided. Below is a list of potential modifiers that could be applied to these codes, along with the reasons for their use:

1. Modifier 26 (Professional Component): This modifier is used when only the professional component of the service is being billed. If the healthcare provider is only interpreting the results of the DXA scan and not providing the technical component, this modifier would be appropriate.

2. Modifier TC (Technical Component): This modifier is used when only the technical component of the service is being billed. If the facility is providing the equipment and performing the scan but not interpreting the results, this modifier should be applied.

3. Modifier 59 (Distinct Procedural Service): This modifier may be necessary if the DXA scan is performed in conjunction with another procedure that is not typically reported together. It indicates that the procedures are distinct and separate.

4. Modifier 76 (Repeat Procedure by Same Physician): If the same physician performs a repeat DXA scan on the same day, this modifier should be used to indicate that the procedure was repeated.

5. Modifier 77 (Repeat Procedure by Another Physician): If a repeat DXA scan is performed on the same day by a different physician, this modifier is appropriate.

6. Modifier 91 (Repeat Clinical Diagnostic Laboratory Test): Although less common for imaging services, if a repeat test is necessary for clinical reasons, this modifier can be used to indicate that the repeat test is not due to a quality issue.

7. Modifier 52 (Reduced Services): If the DXA scan is partially reduced or not fully completed, this modifier can be used to indicate that the service was reduced.

8. Modifier 53 (Discontinued Procedure): If the procedure is started but discontinued due to patient circumstances or other factors, this modifier should be applied.

It is crucial to verify payer-specific guidelines and documentation requirements when applying these modifiers, as they can vary between insurance providers. Proper use of modifiers ensures accurate billing and reimbursement for the services provided.

CPT Code 77082 Medicare Reimbursement

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