Home » Categories » ICD-9-CM Coding

Coding Osteoporosis and Osteopenia


Question

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?

Answer

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.
Related Articles RSS Feed
Metastatic Cancer Eradicated
Viewed 900 times since Wed, Dec 21, 2011
Reactive Airway Disease
Viewed 6712 times since Sun, Apr 15, 2012
Reason for the Admission
Viewed 687 times since Thu, Apr 19, 2012
Systolic CHF
Viewed 1337 times since Mon, Sep 19, 2011
Back Pain with Muscle Spasm
Viewed 7450 times since Thu, Mar 31, 2011
Poor Venous Access
Viewed 3294 times since Wed, Dec 14, 2011
Fatty Infiltration of the Liver
Viewed 3679 times since Tue, Nov 1, 2011
Coding from Radiology Report-Clarification
Viewed 2287 times since Thu, May 19, 2011
Premenopausal Menorrhagia
Viewed 1840 times since Tue, Mar 22, 2011
Headache
Viewed 1422 times since Fri, Oct 14, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506