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Medicare Coverage Database

NCD for Bone (Mineral) Density Studies (150.3)

Publication Number

100-3

Manual Section Number

150.3

Version Number

2

Effective Date of this Version

1/1/2007

Implementation Date

7/2/2007

Benefit Category

Bone Mass Measurement

Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Item/Service Description

Conditions for coverage of BMMs are now contained in chapter 15, section 80.5 of Pub. 100-02, Medicare Benefit Policy Manual.

Indications and Limitations of Coverage

Conditions for coverage of bone mass measurements are now contained in chapter 15, section 80.5 of Pub. 100-02, Medicare Benefit Policy Manual. Claims processing instructions can be found in chapter 13, section 140 of Pub. 100-04, Medicare Claims Processing Manual.

Transmittal Number

69

Transmittal Link

http://www.cms.hhs.gov/transmittals/downloads/R69NCD.pdf

Revision History

07/1997 - Section 4106 of the Balanced Budget Act of 1997 (P.L. 105-217) created a bone mass measurement benefit (§1861(rr) of the Social Security Act http://www.ssa.gov/OP_Home/ssact/title18/1861.htm ).  This manual section was not updated to reflect the new coverage.  The conforming regulations are found at 42 CFR §410.31 (http://www.gpo.gov/nara/cfr/index.html). Effective date 7/1/1998.

05/2007 - Conditions for coverage of BMMs are now contained in chapter 15, section 80.5 of Pub. 100-02, Medicare Benefit Policy Manual. Effective date 01/01/2007. Implementation date 07/02/2007

Claims Processing Instructions
Other Versions

Bone (Mineral) Density Studies - Version 1, Effective between 07/01/1998 - 01/01/2007



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