DEXA Billing Forms

 

Letter of Medical Necessity

 

Special Instructions for Medicare Patients

 

DEXA ICD-9 Codes:

Ohio (2009) - PDF

Ohio (2009) - XLS

 

Ohio VFA (2009) - PDF

Ohio VFA (2009) - XLS

 

Kentucky & Indiana (2009) - PDF

Kentucky & Indiana (2009) - XLS

 

North East States (2009) - XLS

 

Tennessee (2009) - XLS

 

Illinois Diagnosis Codes (2009) - PDF