How to use the CPT Codes for DEXA Scan (Dual-Energy X-ray Absorptiometry)

The DEXA scan (Dual-Energy X-ray Absorptiometry) is a medical imaging technique used to measure bone density and assess the risk of fractures. The Current Procedural Terminology (CPT) codes below are used for DEXA scans and can be are used to document the type of DEXA procedure performed.

1. CPT Code for Vertebral Fracture Assessment

The first code we will discuss is CPT Code 77086. This code is specifically used for vertebral fracture assessment via DEXA.

CPT Code 77086 is used when a vertebral fracture assessment is performed using DEXA. This code is used to document this specific procedure and is important for accurate billing. However, it’s important to note that this code should not be reported in conjunction with codes 77080 or 77085, as these codes represent different DEXA procedures.

2. CPT Codes for Bone Density Study

Next, we have CPT Codes 77085, 77081, and 77080. These codes are used for bone density studies performed at different sites of the body using DEXA.

2.1. CPT Code 77085

CPT Code 77085 is used for a bone density study of one or more sites of the axial skeleton (hips, pelvis, spine), including vertebral fracture assessment. This code is used when both the bone density study and vertebral fracture assessment are performed during the same session. However, it should not be reported with codes 77080 or 77086.

2.2. CPT Code 77081

CPT Code 77081 is used for a bone density study of one or more sites of the appendicular skeleton (peripheral), such as the radius, wrist, or heel. This code is used when a DEXA scan is performed on these specific sites. For a DEXA body composition study, code 76499 should be used instead.

2.3. CPT Code 77080

CPT Code 77080 is used for a bone density study of one or more sites of the axial skeleton (hips, pelvis, spine). This code is used when a DEXA scan is performed on these specific sites. However, it should not be reported with codes 77085 or 77086.

3. CPT Codes for Central DEXA

Finally, we have CPT Codes 3096F and 3095F. These codes are related to the ordering and documentation of central DEXA results.

3.1. CPT Code 3096F

CPT Code 3096F is used when a central DEXA is ordered. This code is used to document the ordering of the procedure, which is an important part of the medical record.

3.2. CPT Code 3095F

CPT Code 3095F is used when the results of a central DEXA are documented. This code is used to document the results of the procedure, which is crucial for patient care and follow-up.