Bone Mineral Density Measurement - (0300)

Cigna excludes assessment of bone density, vertebral fracture, bone strength, or fracture risk using imaging other than central DXA (e.g., automated CT analyses CPT 0691T, 0743T) for any indication; covered tests are central DXA of the hip and lumbar spine and DXA‑VFA or spinal radiographs for high‑risk patients. Claims must use appropriate covered procedure and diagnosis codes and follow Cigna’s Preventive Care (A004) osteoporosis screening criteria (claims without covered codes or indications will be denied); opportunistic/algorithmic CT analyses are not covered absent validated, scanner‑specific cutoffs.

"Inferred covered: Central DXA assessment of the total hip, femoral neck, or lumbar spine as the preferred method for establishing and/or confirming a diagnosis of osteoporosis, predicting future fr..."

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