AMA billing tips:

• Claims for more frequent BMD's must be submitted with text that states the circumstances of the patients condition, i.e. medication, illness. Please refer to the following guidelines that provide more information.

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• ORDERING PHYSICIANS: please note that a BMD may not be ordered for a patient that is less than 50 years of age unless the exam is ordered by one of the qualifying specialties listed in the notes.

  A BMD may only be ordered and completed once every 2 years UNLESS the patient has one of the following clinical indications, this must be noted on the requisition form:

  1. Patient being monitored during a “bisphosphonate holiday”
  2. Patient on therapy in whom there are clinical features to question drug effect (i.e. fracture while on therapy)
  3. Patient is post transplant
  4. Patient has hyperparathyroidism
  5. Patient on supraphysiologic prednisone longer than 12 months

• REFERRING PROVIDERS: please note that you are part of Cancer Control on the referral so the appointment can be made with minimal complication.