How To Use CPT Code 77090

CPT 77090 describes the technical preparation and transmission of data for analysis of a patient’s fracture risk based on trabecular bone score. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 77090?

CPT 77090 can be used to describe the technical preparation and transmission of data for analysis of a patient’s fracture risk based on trabecular bone score. This code is used when a provider prepares imaging data and sends it to another site for assessment of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).

2. Official Description

The official description of CPT code 77090 is: ‘Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere.’

3. Procedure

1. After capturing data using a dual X-ray absorptiometry (DXA) scanner or other imaging device, the provider prepares the data for transmission.
2. The prepared imaging data is then sent to another site for analysis of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).

4. Qualifying circumstances

CPT 77090 is used when a provider prepares imaging data and transmits it to another site for analysis of a patient’s fracture risk based on trabecular bone score. This service is typically performed after a dual X-ray absorptiometry (DXA) scan or other imaging procedure. Trabecular bone score (TBS) provides additional information about bone health by assessing the structural condition of the bone microarchitecture.

5. When to use CPT code 77090

CPT code 77090 should be used when a provider prepares imaging data and transmits it to another site for analysis of a patient’s fracture risk based on trabecular bone score. It is important to ensure that the service performed meets the specific requirements outlined in the code description.

6. Documentation requirements

To support a claim for CPT 77090, the provider must document the following information:

• Details of the imaging procedure performed
• Explanation of the technical preparation of the imaging data
• Documentation of the transmission of the data to another site for analysis
• Any additional relevant information or findings related to the patient’s fracture risk assessment

7. Billing guidelines

When billing for CPT 77090, ensure that the service performed meets the specific requirements outlined in the code description. It is important to review the range of codes related to trabecular bone score (TBS) services to ensure proper code selection. Additionally, consider any applicable modifiers or billing guidelines provided by payers.

8. Historical information

CPT 77090 was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A provider prepares imaging data from a DXA scan and transmits it to another site for analysis of a patient’s fracture risk based on trabecular bone score.
2. After capturing imaging data using an imaging device, the provider prepares the data and sends it to another site for assessment of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).
3. Following a bone density testing procedure, the provider prepares the imaging data for transmission to another site for analysis of the patient’s fracture risk based on trabecular bone score.
4. After performing a dual X-ray absorptiometry (DXA) scan, the provider prepares the imaging data and sends it to another site for assessment of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).
5. A provider prepares imaging data from a bone/joint study and transmits it to another site for analysis of a patient’s fracture risk based on trabecular bone score.
6. Following an imaging procedure, the provider prepares the data and sends it to another site for assessment of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).
7. After capturing imaging data using a specialized imaging device, the provider prepares the data for transmission to another site for analysis of the patient’s bone structure and estimation of fracture risk using trabecular bone score.
8. Following a bone/joint study, the provider prepares the imaging data and sends it to another site for assessment of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).
9. A provider prepares imaging data from a bone density testing procedure and transmits it to another site for analysis of a patient’s fracture risk based on trabecular bone score.
10. After performing an imaging procedure, the provider prepares the data and sends it to another site for assessment of the patient’s bone structure and estimation of fracture risk using trabecular bone score (TBS).