How To Use CPT Code 77092

CPT 77092 describes the interpretation and reporting of a patient’s fracture risk based on trabecular bone score (TBS) by a qualified healthcare professional. 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 77092?

CPT 77092 can be used to describe the interpretation and reporting of a patient’s fracture risk based on trabecular bone score (TBS) by a qualified healthcare professional. This code is used when the provider analyzes dual X-ray absorptiometry (DXA) or other imaging data to provide a TBS, and then interprets the results to assess the patient’s fracture risk.

2. Official Description

The official description of CPT code 77092 is: ‘Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional.’

3. Procedure

1. The provider analyzes dual X-ray absorptiometry (DXA) or other imaging data to obtain a trabecular bone score (TBS).
2. Based on the TBS, the provider interprets the patient’s fracture risk by assessing the structural condition of the bone microarchitecture.
3. The provider creates a report summarizing the interpretation of the TBS and the patient’s fracture risk.

4. Qualifying circumstances

Patients eligible to receive CPT 77092 services are those who require an assessment of their fracture risk based on trabecular bone score. This code is used when a qualified healthcare professional interprets the TBS and provides a report on the patient’s fracture risk. It is important to note that CPT codes 77090, 77091, and 77092 should not be reported together with CPT code 77089.

5. When to use CPT code 77092

CPT code 77092 should be used when a qualified healthcare professional interprets the trabecular bone score (TBS) and provides a report on the patient’s fracture risk. This code is specific to the interpretation and reporting of fracture risk based on TBS and should not be used for other bone or joint studies.

6. Documentation requirements

To support a claim for CPT 77092, the healthcare professional must document the following information:

• The patient’s imaging data used to obtain the trabecular bone score (TBS)
• The interpretation of the TBS and assessment of the patient’s fracture risk
• A detailed report summarizing the findings and recommendations
• The signature of the qualified healthcare professional providing the interpretation and report

7. Billing guidelines

When billing for CPT 77092, ensure that the healthcare professional providing the service is qualified to interpret the trabecular bone score (TBS) and assess the patient’s fracture risk. It is important to review the range of codes (77089-77092) to ensure proper code selection. CPT code 77092 should not be reported together with CPT code 77089.

8. Historical information

CPT 77092 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 radiologist interpreting a patient’s trabecular bone score (TBS) and providing a report on their fracture risk.
2. An endocrinologist analyzing dual X-ray absorptiometry (DXA) data to obtain a trabecular bone score (TBS) and interpreting the results to assess a patient’s fracture risk.
3. An orthopedic surgeon reviewing imaging data to obtain a trabecular bone score (TBS) and creating a report on a patient’s fracture risk.
4. A rheumatologist interpreting a patient’s trabecular bone score (TBS) and providing recommendations for fracture prevention.
5. A radiology technician analyzing dual X-ray absorptiometry (DXA) data to obtain a trabecular bone score (TBS) for a radiologist to interpret and report on a patient’s fracture risk.
6. A nuclear medicine physician interpreting a patient’s trabecular bone score (TBS) obtained from imaging data and providing a report on their fracture risk.
7. An osteopath analyzing dual X-ray absorptiometry (DXA) data to obtain a trabecular bone score (TBS) and interpreting the results to assess a patient’s fracture risk.
8. A musculoskeletal radiologist reviewing imaging data to obtain a trabecular bone score (TBS) and creating a report on a patient’s fracture risk.
9. An endocrinology nurse practitioner interpreting a patient’s trabecular bone score (TBS) and providing recommendations for fracture prevention.
10. A radiology technologist analyzing dual X-ray absorptiometry (DXA) data to obtain a trabecular bone score (TBS) for a radiologist to interpret and report on a patient’s fracture risk.