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Osteoporosis

Who needs a bone density test?

Bone density testing can be used to establish or confirm a diagnosis of osteoporosis and predict future fracture risk. It is the only sure way to determine bone density. The decision to test for bone density should be based on an individual’s risk profile.

The National Osteoporosis Foundation’s (NOF) guidelines reference postmenopausal women, but younger women who have several risk factors should discuss bone density testing with their health care providers. Strategies can be started to prevent osteoporosis if bone density testing determines bone loss is occurring. Men at risk for bone loss and osteoporosis can also be tested.

The NOF guidelines recommend bone density testing should be performed on:

  • All women aged 65 and older regardless of risk factors
  • Younger women who are postmenopausal and have one or more risk factors in addition to being white, female and postmenopausal
  • Postmenopausal women who experience fractures (to confirm the diagnosis and determine disease severity)

Medicare Information

Medicare covers bone density testing for the following individuals age 65 and older:

  • Estrogen-deficient women at clinical risk for osteoporosis
  • Individuals with vertebral abnormalities
  • Individuals receiving or planning to receive long-term glucocorticoid (steroid) therapy
  • Individuals with hyperparathyroidism
  • Individuals being monitored to assess the response or efficacy of an approved osteoporosis drug therapy

Medicare permits individuals to repeat bone density testing every two years. Some exceptions do allow for more frequent testing.

 

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