CPT 0749T: Hand/Wrist DXR–BMD Bone Strength and Fracture Risk Assessment

CPT code 0749T describes use of a hand or wrist digital X‑ray obtained for another clinical purpose that is analyzed with digital X‑ray radiogrammetry–bone mineral density (DXR–BMD) to assess bone strength and fracture risk; service type is diagnostic imaging analysis and the typical site of service is an outpatient radiology or clinic setting where existing hand/wrist X‑rays are available for secondary DXR–BMD assessment.

For related coverage guidance, see recent payer policy updates: Salivary Hormone Testing, Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing, Bone Turnover Markers Testing.

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CPT 0749T: Hand/Wrist DXR–BMD Bone Strength and Fracture Risk Assessment

For related coverage guidance, see recent payer policy updates: Salivary Hormone Testing, Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing, Bone Turnover Markers Testing.

Customize your policy alerts

Sign up for cpt 0749T policy alerts

Get alerted when payer policies referencing 0749T are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A 68-year-old woman presents to an outpatient orthopedic clinic after a primary care visit noted increased fall risk and previous low-energy wrist fracture. The patient previously had routine posteroanterior hand/wrist radiographs obtained for acute wrist pain. The orthopedic clinician orders a digital X‑ray radiogrammetry–bone mineral density analysis to derive bone strength metrics from the existing hand/wrist X‑ray to assess fracture risk without additional imaging exposure. The workflow: the technologist confirms availability of a recent digital hand/wrist X‑ray, submits the DICOM images to the DXR‑BMD analysis software, and documents the analysis result in the medical record. The provider reviews the DXR‑BMD report, incorporates the findings into fracture risk assessment and management planning, and bills 0749T for use of the hand/wrist X‑ray to assess bone strength and fracture risk.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`73100`	Radiologic examination, wrist; complete, minimum of 2 views	Often the original imaging that provides the digital hand/wrist radiograph used as input for DXR‑BMD analysis.
`77080`	Dual-energy X-ray absorptiometry (DXA), bone density study, one or more sites; axial skeleton (e.g., hips, pelvis, spine)	Commonly used as a standard bone mineral density test and may be ordered alongside DXR‑BMD to confirm systemic BMD findings.
`76140`	Radiographic examination, musculoskeletal survey; computer-processed radiographic image analysis (e.g., bone mineral density using hand/wrist)	Related service for computer-processed analysis of radiographs; may be used in facilities that bill alternative imaging analysis codes.
`99406`	Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes	Counseling code often used in the same clinical encounter when discussing modifiable fracture risk factors such as smoking cessation.
`G0130`	Screening mammography, bilateral (Note: HCPCS code sometimes listed for screening services)	Example of another preventive imaging service frequently coordinated in primary care population health workflows (included to illustrate common preventive service bundling).

Related Modifiers

5 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
[object Object]
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
1835P0200X	Pediatric Pharmacist	A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the sa…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207RH0000X	Hematology (Internal Medicine) Physician	An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
174H00000X	Health Educator	Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-…
167G00000X	Licensed Psychiatric Technician	An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, wi…
163WI0500X	Infusion Therapy Registered Nurse	Nursing Service Providers · Registered Nurse
224Y00000X	Clinical Exercise Physiologist	A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has b…

Related Payer Policy Updates

Specialty: Endocrinology1 / 3

10 rows

Policy	Payer	Effective Date
Salivary Hormone Testing	Oscar Health	2026-10-01
Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing	Oscar Health	2026-10-01
Bone Turnover Markers Testing	Oscar Health	2026-10-01
Testosterone — Coverage Criteria for Measurement and Monitoring	Oscar Health	2026-10-01
Thyroid Disease Testing	Oscar Health	2026-10-01
Diabetes Mellitus Testing — Coverage Criteria	Oscar Health	2026-10-01
Thyroid Disease Testing	blue cross blue shield - louisiana	2026-09-15
Thyroid Disease Testing	Blue Cross Blue Shield - New Mexico	2026-09-04
Parathyroid Hormone, Phosphorous, Calcium and Magnesium Testing	Blue Cross Blue Shield - New Mexico	2026-09-04
Testosterone laboratory testing and measurement (coverage criteria)	Premera Bluecross	2026-09-04

CPT 0743T: Finite Element Analysis for Bone Strength and Fracture Risk

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`73100`	Radiologic examination, wrist; complete, minimum of 2 views	Often the original imaging that provides the digital hand/wrist radiograph used as input for DXR‑BMD analysis.
`77080`	Dual-energy X-ray absorptiometry (DXA), bone density study, one or more sites; axial skeleton (e.g., hips, pelvis, spine)	Commonly used as a standard bone mineral density test and may be ordered alongside DXR‑BMD to confirm systemic BMD findings.
`76140`	Radiographic examination, musculoskeletal survey; computer-processed radiographic image analysis (e.g., bone mineral density using hand/wrist)	Related service for computer-processed analysis of radiographs; may be used in facilities that bill alternative imaging analysis codes.
`99406`	Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes	Counseling code often used in the same clinical encounter when discussing modifiable fracture risk factors such as smoking cessation.
`G0130`	Screening mammography, bilateral (Note: HCPCS code sometimes listed for screening services)	Example of another preventive imaging service frequently coordinated in primary care population health workflows (included to illustrate common preventive service bundling).

Related Modifiers

5 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
[object Object]
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
1835P0200X	Pediatric Pharmacist	A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the sa…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207RH0000X	Hematology (Internal Medicine) Physician	An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
174H00000X	Health Educator	Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-…
167G00000X	Licensed Psychiatric Technician	An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, wi…
163WI0500X	Infusion Therapy Registered Nurse	Nursing Service Providers · Registered Nurse
224Y00000X	Clinical Exercise Physiologist	A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has b…

Related Payer Policy Updates

Specialty: Endocrinology1 / 3

10 rows

Policy	Payer	Effective Date
Salivary Hormone Testing	Oscar Health	2026-10-01
Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing	Oscar Health	2026-10-01
Bone Turnover Markers Testing	Oscar Health	2026-10-01
Testosterone — Coverage Criteria for Measurement and Monitoring	Oscar Health	2026-10-01
Thyroid Disease Testing	Oscar Health	2026-10-01
Diabetes Mellitus Testing — Coverage Criteria	Oscar Health	2026-10-01
Thyroid Disease Testing	blue cross blue shield - louisiana	2026-09-15
Thyroid Disease Testing	Blue Cross Blue Shield - New Mexico	2026-09-04
Parathyroid Hormone, Phosphorous, Calcium and Magnesium Testing	Blue Cross Blue Shield - New Mexico	2026-09-04
Testosterone laboratory testing and measurement (coverage criteria)	Premera Bluecross	2026-09-04

CPT 0743T: Finite Element Analysis for Bone Strength and Fracture Risk

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 0749T: Hand/Wrist DXR–BMD Bone Strength and Fracture Risk Assessment

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CPT 0749T: Hand/Wrist DXR–BMD Bone Strength and Fracture Risk Assessment

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

CPT 0749T: Hand/Wrist DXR–BMD Bone Strength and Fracture Risk Assessment

Sign up for cpt 0749T policy alerts

CPT 0749T: Hand/Wrist DXR–BMD Bone Strength and Fracture Risk Assessment

Sign up for cpt 0749T policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What does CPT 0749T represent and when is it used?

Where and how is the 0749T service typically performed?

Which provider specialties commonly use or bill for DXR‑BMD under 0749T?

What modifiers are applicable to 0749T and when should they be considered?

What related CPT/HCPCS codes might be encountered with 0749T and does the page state coverage rules?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What does CPT 0749T represent and when is it used?

Where and how is the 0749T service typically performed?

Which provider specialties commonly use or bill for DXR‑BMD under 0749T?

What modifiers are applicable to 0749T and when should they be considered?

What related CPT/HCPCS codes might be encountered with 0749T and does the page state coverage rules?

References