CPT® Code 0815T

1. Indications

The ultrasound-based radiofrequency echographic multi-spectrometry (REMS) bone-density study is indicated for the following conditions:

• Assessment of Osteoporosis This procedure is performed to evaluate the presence of osteoporosis, a condition that leads to decreased bone density and increased fracture risk.
• Fracture Risk Evaluation The REMS study is utilized to assess the risk of fragility fractures in patients, particularly in skeletal sites such as the hips, pelvis, or spine.
• Monitoring Bone Health It is indicated for monitoring changes in bone density over time, especially in patients undergoing treatment for osteoporosis or those at high risk for developing the condition.

2. Procedure

The REMS bone-density study involves several key procedural steps to ensure accurate assessment of bone health:

• Patient Positioning The patient is positioned supine on an examination table to allow optimal access to the targeted skeletal sites, which may include the hips, pelvis, or spine.
• Probe Placement A convex ultrasound probe is placed over the area of interest. The technician ensures that the probe is correctly positioned to capture the necessary ultrasound signals from the bone structure.
• Transducer Adjustment The transducer is adjusted to focus at the appropriate depth for the specific bone being evaluated. This adjustment is crucial for obtaining clear and accurate readings of bone density.
• Echographic Scanning An echographic scan is performed, during which the ultrasound waves are transmitted into the bone. The software then processes the raw ultrasound signals to identify areas of interest within the bone structure.
• Data Analysis The changes in the ultrasound signals, caused by the physical condition of the bone, are analyzed to estimate bone mineral density. This analysis helps categorize the bone as healthy, osteoporotic, or osteopenic.
• Report Generation A detailed report is generated, summarizing the findings of the study. This report includes patient-specific data regarding bone status and is essential for clinical decision-making.

3. Post-Procedure

After the REMS bone-density study, the patient may resume normal activities immediately, as the procedure is non-invasive and does not involve any recovery time. The generated report is reviewed by the physician, who will interpret the results in the context of the patient's overall health and risk factors. Based on the findings, the physician may recommend further evaluation, initiate hormone replacement therapy, or suggest preventive treatments for osteoporosis. It is important for patients to follow up with their healthcare provider to discuss the results and any necessary next steps in their care plan.