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Phone: (954) 966-3600

Fax: (954) 967-1962

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Did You Know That Medicare Covers Bone Density Tests at Hollywood Diagnosticss Center

Dec 6, 2021

Hollywood Diagnosticss Center would like to remind you that preventive screenings, such as bone density tests, can help identify many potential medical problems. The good news for seniors that need this test, is that Medicare covers many of the costs.

Bone density tests may help prevent expensive reparative treatments. Medicare generally covers such tests, although there may be other out-of-pocket costs.

This blog will show info about bone density scans and osteoporosis, including risk factors. It also discusses Medicare coverage of the tests, along with costs.


What is a Bone Density Scan?

If your doctor thinks you may have osteoporosis, they may ask for a bone density scan, which uses an X-ray to measure bone mineral density. The test may be done in a hospital setting or by using a mobile device. In general, a person will get the hospital test for a hip or spine X-ray, while the mobile test is done on a person’s finger, wrist, or heel. However, the type of test may depend on the community’s access to equipment.

According to the National Osteoporosis Foundation (NOF), if the test cannot be done on a person’s hip or spine, then it could be done on a person’s radius bone, which is in the forearm.

What is Osteoporosis?

Osteoporosis is a medical condition that causes decreases in a person’s bone density, which can lead to fractures of the hip, spine, or wrist following a fall or other trauma.

After a doctor confirms a person has osteoporosis, recommended treatments may include medications and lifestyle changes such as getting more exercise and increasing intake of calcium and vitamin D.

What are the Risk Factors For Osteoporosis?

Did you know that women are more likely than men to experience osteoporosis due to age-related hormonal changes. Case in point, after menopause, a woman’s estrogen levels drop. Estrogen is one of the hormones responsible for stimulating osteoblasts, which are cells that promote bone growth.

Other osteoporosis risk factors include:

  • lack of bone-building vitamin D and calcium in the diet
  • smoking cigarettes
  • drinking alcohol excessively
  • being sedentary
  • having a too-low body weight
  • having a medical history of a parent who broke their hip

If a person has several of these risk factors, a doctor may recommend a bone density scan.

How Do Doctors Perform a Bone Density Test?

A bone density test is a non-invasive, painless X-ray scan of the hip and spine. A person does not need to do or wear anything special to get the test, and the entire scan typically takes 15 minutes or less.

Once a person has had a bone density test, a doctor trained in reading the scans will view the images and use calculations to assign a T-score, which compares a person’s current bone density to that of a healthy adult at age 30. Three T-score categories exist:

  • normal bone density: -1 or higher (such as 0 or +0.5)
  • low bone density: between -1 and -2.5
  • osteoporosis: -2.5 and lower

Does Medicare Cover Bone Density Tests?

Medicare covers bone density tests provided the person meets certain criteria for getting the scan. These criteria may include age and gender as well as personal medical history and risk factors that may put a person at greater risk for decreased bone density.

If the person meets Medicare’s requirements for a bone density scan, they may not have any costs associated with the scan. However, the doctor performing and interpreting the scan must accept Medicare assignment.

As a general rule, a person should check with Medicare before undergoing a bone density scan. Sometimes, a doctor’s office may help a person conduct this check, which is also called a pre-authorization. This process can ensure the doctor accepts the assignment and ensures they will not provide services that Medicare does not cover and that a person is then responsible for paying.

What is Medicare?

Medicare has four parts, and each one has a different purpose and various costs related to paying for healthcare.

When a person qualifies for original Medicare (usually by turning age 65 or having a qualifying disability or medical condition), they will generally automatically get a Medicare card that allows them to get benefits.


What Portion of Medicare Covers Bone Density Tests?

Medicare Part B is the Medicare portion responsible for paying for a bone mass measurement test. Medicare will cover a test once every 24 months for a preventive screening if they meet the following requirements:

  • a doctor certifies a woman is at risk for osteoporosis due to estrogen deficiency or medical history
  • a person’s X-ray shows signs of osteoporosis, osteopenia, or fractured vertebrae
  • a person has been taking medications known to affect bone health, including prednisone or other steroid-type medications
  • a doctor has diagnosed a person with primary hyperparathyroidism, a condition that affects the body’s calcium stores and causes thinning bones
  • a person is undergoing osteoporosis treatments, and a person requires a bone density test to track their treatment’s effectiveness

A person may also qualify for more frequent bone density scans if a doctor declares the tests medically necessary. Whether Medicare covers more frequent screenings depends upon a person’s health and medical reasons for the increased frequency.

If you live in Hollywood, Florida, or the South Florida area in general, and are in need of any medical imaging, then call the Hollywood Diagnostics Center today! Our medical professionals are ready and willing to help you through these difficult and trying times. All of the staff within is friendly and ready to answer any questions you have regarding any medical imaging technologies and procedures being taken during the public health emergency. Call the Hollywood Diagnostics Center at Phone: (954) 966-3600 today!