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DXA business? How to improve your for bone microarchitecture assessment

The healthcare sector faces important challenges, and DXA (Dual-energy X-ray absorptiometry) imaging is not the exception. Improved tools are needed to enhance DXA imaging centers. Things like enlarging both referring doctors and patients base, and increasing revenue without interrupting DXA workflow while delivering clinical value to patients.

With Trabecular Bone Score (TBS), your DXA imaging center can achieve your desired goals!

USA Reimbursement

If you have a question about reimbursement in the USA, please contact our experts at

CPT codes have been established by the AMA CPT panel and CMS has proposed reimbursement amounts.

The information provided is general reimbursement information for TBS Insight product. It is not legal advice, nor is it advice about how to code, complete or submit any particular claim for payment.

Increase your
referral base

  • TBS Osteo is the missing piece your referring doctors need for a complete understanding of fracture risk 
  • Without TBS you are missing up to 30% of osteopenic patients at risk of fracture1
  • Over 50% of patients with osteoporotic fractures have normal or osteopenic BMD values. These patients are underdiagnosed with BMD alone2
  • Patients are asking for it…enhancing word of mouth recommendations 

Increase your
current revenue

  • US Reimbursement code for TBS,  available for use January 2022.
  • Retrospective analysis – identify patients in risk groups and contact their referring physicians for earlier repeat scans 

Fits seamlessly into
your daily workflow

  • Easy to use and no additional hardware 
  • No additional scan time and no additional radiation 
  • Simple to interpret reports

Clinical value

  • Identify more patients at risk for fracture1 
    • ~30% of osteopenic patients are reclassified with TBS
  • Fine-tune therapy decision3 
    • TBS helps refine decision making with patients on the boarder of FRAX and BMD T-score thresholds.
  • Improve patient monitoring4
    • ISCD guidelines reference TBS and monitoring anabolic therapy5

What is TBS Osteo?

It is an advanced imaging software for your DXA scanner that complements the BMD analysis. TBS predicts vertebral and non-vertebral fracture risk in men and women independently of BMD, clinical risk factors and FRAX™ by adding the textural component reflecting the bone micro-architecture. It requires no additional scan time, no additional radiation, and is seamlessly integrated to your DXA workflow.


  1. Adapted from Table 3 in Hans et al. Didier Hans  et al. (2014). Bone microarchitecture assessed by TBS predicts osteoporotic fractures  independent of bone density: the Manitoba study, Journal of Bone and Mineral Research. DOI:  10.1002/jbmr.499 
  2. Siris et al. (2004). Bone Mineral Density Thresholds for Pharmacological Intervention to Prevent Fractures. Arch Intern Med. ;164(10):1108-1112. doi:10.1001/archinte.164.10.1108
  3. Based on monitoring of changes of TBS across time
  4. Krohn, K., et al(2019), Dual-energy X-ray Absorptiometry Monitoring with Trabecular Bone Score: The 2019  ISCD Official Positions. Journal of Clinical Densitometry 6950, 30152–0. DOI: 10.1016/j.jocd.2019.07.006

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