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Ultrasound bone density measurement is a non-invasive diagnostic procedure specifically designed to assess bone density at peripheral sites, with the heel being the most commonly evaluated area. This technique utilizes ultrasound technology, which involves the transmission of high-frequency sound waves through the bone. The ultrasound device consists of a transmitting transducer that emits these sound waves, which then travel through the heel. A receiving transducer captures the waves that are reflected back after interacting with the bone. The device analyzes the reflected waves to calculate various parameters indicative of bone density. These measurements are crucial for evaluating bone health and can assist in diagnosing conditions such as osteoporosis. Following the measurement, a physician interprets the data collected by the ultrasound device and generates a comprehensive written report detailing the findings.
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Ultrasound bone density measurement is indicated for the assessment of bone density in patients who may be at risk for osteoporosis or other bone-related conditions. The following conditions may warrant this procedure:
The ultrasound bone density measurement procedure involves several key steps to ensure accurate assessment of bone density at peripheral sites.
After the ultrasound bone density measurement, there are typically no specific post-procedure care requirements, as the procedure is non-invasive and does not involve any recovery time. Patients can resume their normal activities immediately. The physician will provide the written report, which may include recommendations for further evaluation or treatment based on the findings. It is important for patients to discuss the results with their healthcare provider to understand the implications for their bone health and any necessary follow-up actions.
| Short Descr | US BONE DENSITY MEASURE | Medium Descr | US BONE DENSITY MEAS & INTERP PERIPH ANY METHO | Long Descr | Ultrasound bone density measurement and interpretation, peripheral site(s), any method | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I3F - Echography/ultrasonography - other | MUE | 1 | CCS Clinical Classification | 197 - Other diagnostic ultrasound |
This is a primary code that can be used with these additional add-on codes.
| G0513 | Telehealth Service (Medicare) Medicare Coverage: Carrier Priced Add-on Code MPFS Status: Active Code APC N Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) |
| TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 1999-01-01 | Added | First appearance in code book in 1999. |
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