CMS Pub. 100-02, ch. 15, § 80.5.4

Medicare covers BMM under the following conditions:

1. Is ordered by the physician or qualified nonphysician practitioner who is treating the beneficiary

following an evaluation of the need for a BMM and determination of the appropriate BMM to be used.

A physician or qualified nonphysician practitioner treating the beneficiary for purposes of this provision

is one who furnishes a consultation or treats a beneficiary for a specific medical problem, and who uses

the results in the management of the patient. For the purposes of the BMM benefit, qualified

nonphysician practitioners include physician assistants, nurse practitioners, clinical nurse specialists, and

certified nurse midwives.

2. Is performed under the appropriate level of physician supervision as defined in 42 CFR 410.32(b).

3. Is reasonable and necessary for diagnosing and treating the condition of a beneficiary who meets the

conditions described in §80.5.6.

4. In the case of an individual being monitored to assess the response to or efficacy of an FDA-approved

osteoporosis drug therapy, is performed with a dual-energy x-ray absorptiometry system (axial skeleton).

5. In the case of any individual who meets the conditions of 80.5.6 and who has a confirmatory BMM, is

performed by a dual-energy x-ray absorptiometry system (axial skeleton) if the initial BMM was not

performed by a dual-energy x-ray absorptiometry system (axial skeleton). A confirmatory baseline

BMM is not covered if the initial BMM was performed by a dual-energy x-ray absorptiometry system

(axial skeleton).