CPT code 0691T covers an automated analysis of an existing CT dataset to check for vertebral fractures and may include bone density assessment. The code bundles data preparation, automated image processing, interpretation, and a clinical report. As imaging analytics and AI-driven tools become more integrated into clinical workflows, this code reflects a growing national emphasis on opportunistic fracture screening and fracture risk assessment using already-acquired CT studies. Its use can support earlier identification of osteoporotic fractures and secondary prevention efforts.

Key payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of the clinical context for opportunistic vertebral fracture detection, the typical service setting (imaging centers and hospital outpatient radiology), and the components of the billed service. The publication presents benchmarks and coverage patterns where available, summarizes policy and coding guidance relevant to automated image analysis services, and outlines operational considerations for documenting components included in the code (data preparation, analysis, interpretation, and report). Data not available in the input are noted where applicable.