@jozer We are going through the same type of thing with DXA referral with TBS. Once we got a referral to a DEXA/DXA testing place with TBS they wanted to charge $200 extra for the TBS because the doctor had not included that in the order. We are still working with the doctor & TBS to get past this.

Here is a page that shows the CPT reimbursement codes needed by CMS related to TBS.
https://www.medimaps.ai/trabecular-bone-score-reimbursement-2/
And here is a paper that you could give to your doctor some guidance. The title is a whole paragraph itself! Read the paper carefully first as it is not the blanket "TBS is now the standard of care to help understand what the heck is going on" statement that I would like to see. 🙂

"Update on the clinical use of trabecular bone score (TBS) in the management of osteoporosis: results of an expert group meeting organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO), and the International Osteoporosis Foundation (IOF) under the auspices of WHO Collaborating Center for Epidemiology of Musculoskeletal Health and Aging"
https://pmc.ncbi.nlm.nih.gov/articles/PMC10427549/
EXCERPT: "The expert consensus statements and operational approach, provided in this paper, can be used to guide the integration of TBS in clinical practice for the assessment and management of osteoporosis."