X152 – BMD measurement - one site - second test - low risk patient

Bone Mineral Density (BMD) measurement by Dual-energy X-ray Absorptiometry (DXA) - by axial technique only. Definition/Required elements of service: BMD measurement by DXA is an insured service only when all the following conditions have been met: 1. the service is rendered for the prevention and management of osteoporosis or osteopenia; 2. when more than one site is measured, the sites include both hip and spine and where measurement of both hip and spine is not technically feasible the site measured consists of either hip or spine. Definitions for testing: For the purpose of second and subsequent testing, - "high risk patient" means a patient: 1. at risk for accelerated bone loss (in the absence of other risk factors, patient age is deemed not to place a patient at high risk for accelerated bone loss); 2. with osteopenia or osteoporosis on any previous BMD testing; or 3. with bone loss in excess of 1% per year as demonstrated by previous BMD testing. - "low risk patient" means a patient who is not a high risk patient. This fee code, X152, represents the second BMD test for a low-risk patient, covering one site.