Bone Density Study (Dexascan)

Bone density study, also known as a DXA or Dexascan, is covered for:

• the diagnosis and monitoring of suspected or confirmed osteoporosis,
• the diagnosis and monitoring of osteopenia

Patients must present with signs and symptoms of bone disease or be considered at high-risk for developing osteoporosis. High-risk factors for osteoporosis are those identified as the standard of care by the American College of Obstetricians and Gynecologists (ACOG).

Bone density study for routine screening for osteoporosis is not a covered benefit, with the exception of osteoporosis screening rendered/ordered during HP&DP or wellness exams for:

• women 65 years and older 
• post-menopausal women younger than 65 years who are at increased risk of osteoporosis (to be determined by a formal clinical assessment tool, such as the Simple Calculated Osteoporosis Risk Estimation [SCORE])

Cost Information