Home » Categories » ICD-9-CM Coding

Coding Osteoporosis and Osteopenia


When a diagnosis of osteoporosis and osteopenia are found on a bone density study, is it appropriate to code both findings, or just the osteoporosis since it is the most severe finding?


There is no coding guideline or instruction that indicates that both cannot be coded however, you are correct that osteopenia is considered a precursor to osteoporosis and that osteoporosis is considered a disease process while osteopenia is considered a condition therefore the osteoporosis is the more severe finding.  Whether you decide to code both will be your decision.  You may also want to develop an internal coding policy if you decide not to code the osteopenia in the presence of osteoarthritis so that there will be no question if this issue comes up on an internal or external coding review.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Comments Comments
There are no comments for this article. Be the first to post a comment.
Related Articles RSS Feed
Viewed 1413 times since Fri, May 27, 2011
Viewed 2929 times since Wed, Nov 17, 2010
Dyspnea and SOB
Viewed 2088 times since Tue, Mar 29, 2011
Newborn with Circumsion
Viewed 10557 times since Thu, Nov 8, 2012
Borderline Serous Ovarian Tumor
Viewed 3286 times since Tue, Jun 14, 2011
Incidental Pregnancy
Viewed 4174 times since Wed, Nov 17, 2010
High Blood Pressure (HBP)
Viewed 1487 times since Wed, May 4, 2011
Viewed 1203 times since Thu, Jul 7, 2011
Medicare Screening Vaginal Pap Smear
Viewed 2389 times since Tue, May 3, 2011
Pallative Care
Viewed 834 times since Sat, Apr 2, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506