CMS to reimburse for Medimaps bone health

The U.S. Centers for Medicare and Medicaid Services (CMS) will offer reimbursement for software from Medimaps Group that performs osteoporosis risk fracture assessment via trabecular bone scores (TBS).

The agency assigned the Current Procedural Terminology (CPT) code 77089 for Medimaps' TBS iNsight, which provides a trabecular bone score for x-ray and dual-energy x-ray absorptiometry. It was effective January 2022.

The CMS lists the reimbursement amount for a TBS procedure on the Medicare Physician Fee Schedule (MPFS) as $41.53, and it is $82.61 for Hospital Outpatient Prospective Payment Schedule (OPPS).