Summary & Overview
CPT 2035F: Unspecified CPT Measure or Procedure
CPT code 2035F is a CPT-designated code with no summary provided in the source input. It represents a discrete clinical or administrative item within the CPT framework and is relevant to national medical billing and reporting workflows because CPT codes form the backbone of procedure and measure identification across payers. National stakeholders—including private insurers and federal programs—use CPT codes for claims adjudication, quality measurement, and reimbursement mapping.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents (as available), the service context where possible, and an outline of missing items. The publication will highlight standard benchmarks and policy-relevant considerations where data exists, and will note areas with missing input that limit detailed benchmarking.
This summary orients clinicians, revenue cycle leaders, and policy analysts to the code’s presence in the CPT system, clarifies which major payers are relevant for further inquiry, and identifies the specific information that is not available in the provided input.
Billing Code Overview
CPT code 2035F has no summary available in the source description. Based on the code designation, this entry represents a specific clinical or administrative measure within the CPT coding system.
Service Type: Data not available in the input.
Typical Site of Service: Data not available in the input.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult undergoing evaluation for bone mineral density and fracture risk, such as a postmenopausal woman or an older man with risk factors for osteoporosis. The patient presents to an outpatient imaging center or a hospital radiology department after referral from a primary care physician, endocrinologist, or rheumatologist. The clinical workflow includes patient registration, review of indications (eg, low-trauma fracture, long-term glucocorticoid therapy, height loss, or monitoring of osteoporosis therapy), performing a dual-energy X-ray absorptiometry (DXA) scan of the lumbar spine and hip, acquisition of images by a certified DXA technologist, and interpretation and generation of a written report by a qualified physician or other permitted provider. Results are transmitted to the referring clinician for management decisions such as initiation or adjustment of pharmacologic therapy, fall-prevention measures, or further diagnostic evaluation.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing only the physician interpretation of the DXA study separate from technical acquisition. |
TC | Technical component | Use when billing only the technical component (equipment, technologist, supplies) of the DXA study. |
GE | Services delivered under a global payment | Use when the DXA is provided under a global payment arrangement where reporting of a separate service is required by payer rules. |
-59 | Distinct procedural service | Use when a separate, distinct non-evaluation procedural service is performed on the same day as another service and documentation supports independence. |
-RT | Right side | Use when laterality is required by payer and the study is limited to the right hip or extremity. |
-LT | Left side | Use when laterality is required by payer and the study is limited to the left hip or extremity. |
-25 | Significant, separately identifiable evaluation and management service by the same physician on the same day | Use when a medically necessary E/M visit is performed and documented on the same day as the DXA. |
-91 | Repeat clinical diagnostic laboratory test | Rarely applicable; use only if a repeat measurement protocol for comparison is required and payer allows modifier for repeat testing protocols. |
Q6 | Screening test performed in a facility | Use when reporting a facility-based screening DXA as defined by specific payers (varies by carrier). |
GQ | Telehealth via asynchronous store-and-forward | Use only if interpretation or reporting is performed via permitted telehealth asynchronous methods as defined by payer. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
207RI0000X | Radiology | Radiologists commonly interpret DXA scans and provide official reports. |
2080P0207X | Osteoporosis Medicine (Endocrinology subspecialty) | Endocrinologists manage osteoporosis and may order and interpret DXA studies as part of care. |
207L00000X | Diagnostic Radiology Technologist | Certified DXA technologists perform image acquisition and ensure quality control. |
1835P0206X | Preventive Medicine | Primary care and preventive medicine physicians use DXA for screening and monitoring of bone health. |
207K00000X | Nuclear Medicine Physician | Less commonly, nuclear medicine specialists may perform or interpret bone density studies in some facilities. |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
M81.0 | Age-related osteoporosis without current pathological fracture | Common indication for DXA screening and monitoring of bone density in older adults. |
M80.08XA | Age-related osteoporosis with current pathological fracture, multiple sites, initial encounter | DXA may be used to evaluate underlying bone density after low-trauma fractures. |
Z79.890 | Long term (current) use of opiate analgesic | Chronic medication use (eg, glucocorticoids or other agents) can increase fracture risk; DXA is used in risk assessment (note: applicable medication codes vary). |
E03.9 | Hypothyroidism, unspecified | Endocrine disorders can affect bone health; DXA supports assessment of fracture risk. |
M85.8 | Other specified disorders of bone density and structure | Used for atypical low bone density conditions evaluated with DXA. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
77080 | Dual-energy X-ray absorptiometry (DXA), axial skeleton (eg, hips, pelvis, lumbar spine) — per standard reporting | Commonly performed DXA procedure code for bone density measurement of the spine and hip; often billed in conjunction with interpretation codes. |
77081 | Bone density study, single-energy (eg, quantitative ultrasound) | Alternative modality for bone assessment; may be used when DXA is not available or for peripheral screening. |
96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance) | Not typically billed for DXA but may appear in the same visit if patient receives concurrent treatment such as vitamin D injection; included here for clinical workflow awareness. |
99213 | Office or other outpatient visit for evaluation and management of an established patient, typically 15 minutes | E/M visit often performed by the ordering clinician to review DXA results and manage osteoporosis treatment. |
G0130 | Screening mammography, bilateral (for Medicare screening codes reference) | Example of another screening imaging service with similar documentation and preventive care workflow considerations; included as a workflow analogue. |
77078 | CT bone mineral density study (axial skeleton) | Alternative imaging technique for bone density assessment in specialized clinical situations or research contexts. |