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← Return to self pay for CTX P1NP
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Osteoporosis & Bone Health | Last Active: Sep 22 5:13pm | Replies (16)
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My Endo prescribed CTX and P1NP at my request. (She told me that these two blood markers have not been proven to be indicative of bone loss.) My insurance didn't pay for either and my out-of-pocket cost for both was approx. $220.00. When I asked insurance why the charges, I was told your doctor can resubmit the test w/different codes. I didn't want to do that and paid the test charges.
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Most of the tests prescribed are not medically necessary, except we don't know until we have them. And we probably don't want our physicians to guess.
One of the endocrinologist I consult with said that he doesn't prescribe without bone markers. He won't risk the moral hazard of prescribing medication to a woman on the verge of fracture without understanding whether the drug is effective.
If your osteoporosis doctor is passive you could be on a useless, expensive, potentially harmful medication for two years between dxas.
Bone markers are never used to diagnose osteoporosis.