Medicare Claims Processing Manual (Pub. 100-04), Ch. 7 § 50.1
Bone Mass Measurements
50.1 - Bone Mass Measurements
(Rev. 1, 10-01-03)
SNF-535.5
Sections 1861(s)(15) and §1861(rr)(1) of the Act (as added by §4106 of the Balanced
Budget Act (BBA) of 1997) standardized Medicare coverage of medically necessary
bone mass measurements by providing for uniform coverage under Medicare Part B.
This standardized coverage is effective for claims with dates of service furnished on or
after July 1, 1998. The Medicare Claims Processing Manual, Chapter 13, "Radiology
Services," contains coverage, billing, and payment requirements for bone mass
measurements.