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Oct 1, 2022

Osteoporosis screening and fall prevention

Preventing falls and subsequent hip and vertebral fractures is important for our senior population. Hip fractures can be debilitating, and sometimes require hospitalization and surgical treatment. It can take months of therapy to fully recover. While it may seem small, preventive screening (bone density testing) and fall prevention education can have a significant positive impact on your patients’ mobility and quality of life.

Measure Overview: Osteoporosis Management in Women Who Had a Fracture

The percentage of women 67-85 years of age who suffered a fracture between July 1, 2021 and June 30, 2022 and who had either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the six months after the fracture. Fractures of finger, toe, face, and skull are not included in this measure.

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Codes to close the gap:

  • CPT codes to identify bone mineral density tests: 76977, 77078, 77080, 77081, 77085, 77086
  • HCPCS codes to identify osteoporosis medications: J0897, J1740, J3489, J3110, J3111

 

FREE CDC fall prevention guide:

Preventing Falls: A Guide to Implementing Effective Community-Based Fall Prevention Programs (cdc.gov)

 

Please refer to your 2022 PQIP booklet for additional information on this measure.

Please do not hesitate to reach out to your quality representative with any questions at QualityHEDIS@bcbsri.org.