Bone density studies

Applies to:

All plans, unless the individual plan documents/CMS or Medicaid coverage criteria conflict; then, the plan documents/coverage criteria will govern.

Definition

Bone mineral density (BMD) can be measured with a variety of techniques in a variety of sites. Sites are broadly subdivided into central sites (e.g. hip or spine) and peripheral sites (e.g. wrist, finger, heel). While BMD measurements are predictive of fractures at all sites, central measurements of the hip and spine are the most predictive. Additionally, fractures of the hip and spine (e.g. vertebral fractures) are the most clinically relevant.

Medical policy/policies

• Bone Density Studies - 91494

Osteoporosis clinical practice guideline

• Management and Prevention of Osteoporosis

Bone density study authorizations

Participating providers: Use our online authorizations tool to go to GuidingCare.

Non-participating providers: Use this Medical Authorization Form.