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P1NP and CTX

Osteoporosis & Bone Health | Last Active: 4 days ago | Replies (36)

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Profile picture for prarysky @prarysky

@njx58 I'm not sure but the bone marker lab tests are probably covered by Medicare Part B rather than Part D.

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Replies to "@njx58 I'm not sure but the bone marker lab tests are probably covered by Medicare Part..."

@prarysky Yes. I meant that how would Medicare know if you're taking medication for osteoporosis in order to decide whether or not to cover the CTX blood test? I don't see how they would. The blood tests are going to be accompanied by a doctor's prescription and diagnosis. That is all the lab has to go on. Assuming the doctor has coded it correctly, I don't see any issue with Medicare covering the test.

@prarysky You are correct. It is covered by Part B if medically necessary.