HCPCS Code M1153: Patient with diagnosis of osteoporosis on date of encounter

HCPCS Code M1153: Patient with diagnosis of osteoporosis on date of encounter

Learn about HCPCS Code M1153 for documenting patients with osteoporosis on the encounter date, used in Medicare quality reporting.

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Frequently asked questions

The HCPCS code M1153 is used to indicate a patient with a diagnosis of osteoporosis on the date of an encounter. It is a Level II HCPCS “Other Services” code and is mainly used in quality reporting (e.g., as a denominator exclusion for osteoporosis screening measures).

The CPT code 77080 (Dual-energy X-ray absorptiometry [DXA], bone density study, one or more sites, axial skeleton) is commonly used when performing osteoporosis screening. In ICD-10-CM, encounters specifically for osteoporosis screening are captured with Z13.820 (Encounter for screening for osteoporosis), which is paired with the DXA CPT code for billing and documentation.

HCPCS code C9793 describes hysteroscopy, surgical, with endometrial ablation (any method), including intraoperative ultrasound guidance. This code is used for hospital outpatient billing to standardize reporting and reimbursement for surgical hysteroscopic endometrial ablation procedures.

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