Medicare Benefit Policy Manual (Pub. 100-02), Ch. 15 § 80.5.5
Frequency Standards
80.5.5 - Frequency Standards
(Rev. 70, Issued: 05-11-07, Effective: 01-01-07, Implementation: 07-02-07)
Medicare pays for a screening BMM once every 2 years (at least 23 months have passed since the month the
last covered BMM was performed).
When medically necessary, Medicare may pay for more frequent BMMs. Examples include, but are not
limited to, the following medical circumstances:
•
Monitoring beneficiaries on long-term glucocorticoid (steroid) therapy of more than 3 months.
•
Confirming baseline BMMs to permit monitoring of beneficiaries in the future.