Osteoporosis N032

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/n-p/osteoporosis-n032-m800-m809m810-m81

Last amended

Rulebase for osteoporosis

<h5>Current RMA Instruments</h5><table border="1" cellpadding="1" cellspacing="1"><tbody><tr><td><address><p><a href="http://www.rma.gov.au/assets/SOP/2024/7a5f231c1c/066.pdf&quot; target="_blank">Reasonable Hypothesis</a><a href="http://www.rma.gov.au/assets/SOP/2024/7a5f231c1c/066.pdf"&gt; SOP</a></p></address></td><td>66 of 2024</td></tr><tr><td><address><address><p><a href="http://www.rma.gov.au/assets/SOP/2014/099.pdf&quot; target="_blank">Balance of Probabilities SOP</a></p></address></address></td><td>67 of 2024</td></tr></tbody></table><h5>Changes from previous Instruments</h5><drupal-media data-entity-type="media" data-entity-uuid="a332c873-8a05-489b-a149-49e8d79ad4a6"> </drupal-media><h5> </h5><h5>ICD Coding</h5><ul><li>ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8</li></ul><h5>Brief description</h5><p>This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. </p><h5><strong>Confirming the diagnosis</strong></h5><p>Confirmation of the diagnosis may require:</p><ul><li>Bone density test (DEXA scan) results, or</li><li>Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures</li></ul><p>DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).</p><p>The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). </p><p>Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. </p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>Nil</li></ul><h5><strong>Conditions excluded from SOP</strong></h5><ul><li>A normal traumatic fracture* - fracture SOP</li><li>Localised osteoporosis </li><li>Osteogenesis imperfecta</li><li>Osteomalacia #</li><li>Osteonecrosis </li><li>Osteomyelitis </li><li>Osteopenia- declared not a disease by RMA</li><li>Malignant or benign neoplasm of bone</li><li>Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP</li></ul><p>* another SOP applies</p><p><span><sup># </sup></span>non-SOP condition</p><h5>Clinical onset</h5><p>Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.</p><h5>Clinical worsening</h5><p>For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.</p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/rulebase-osteoporosis

A severe vitamin C deficiency

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/severe-vitamin-c-deficiency

A specified autoimmune disorder

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/specified-autoimmune-disorder

A specified endocrine abnormality

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/specified-endocrine-abnormality

A specified gastrointestinal disease

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/specified-gastrointestinal-disease

A total or partial gastrectomy

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/total-or-partial-gastrectomy

Acquired vitamin D deficiency

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/acquired-vitamin-d-deficiency

Alcohol consumption

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/alcohol-consumption

Altered dietary pattern resulting in decreased calcium intake

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/altered-dietary-pattern-resulting-decreased-calcium-intake

Anorexia nervosa

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/anorexia-nervosa

Being immobile

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/being-immobile

Being underweight

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/being-underweight

Chronic renal failure

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/chronic-renal-failure

Cigar smoking

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/cigar-smoking

Cigarette smoking

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/cigarette-smoking

Exposure to cadmium

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/exposure-cadmium

Inability to obtain appropriate clinical management for osteoporosis

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/inability-obtain-appropriate-clinical-management-osteoporosis

Inability to undertake any physical activity greater than 3 METs

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/inability-undertake-any-physical-activity-greater-3-mets

Iron overload

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/iron-overload

Lymphoma

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/lymphoma

Multiple myeloma or systemic mastocytis

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/multiple-myeloma-or-systemic-mastocytis

Over-consumption of vitamin A

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/over-consumption-vitamin

Pipe smoking

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/pipe-smoking

Prisoner of war

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/prisoner-war

Smoking tobacco products - material contribution

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/smoking-tobacco-products-material-contribution

Solid organ or bone marrow transplantation

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/solid-organ-or-bone-marrow-transplantation

Treatment with a specified drug

Current RMA Instruments

Reasonable Hypothesis SOP

66 of 2024

Balance of Probabilities SOP

67 of 2024
Changes from previous Instruments
 
ICD Coding
  • ICD-10-AM Codes: M80.0-M80.9, M81.0-M81.9, M82.0, M82.1, M82.8
Brief description

This is a generalised systemic condition characterized by low bone mineral density and weakened bones that become prone to fractures. 

Confirming the diagnosis

Confirmation of the diagnosis may require:

  • Bone density test (DEXA scan) results, or
  • Radiological evidence of a minimal trauma fracture or loss of 20% or more of vertebral height due to fragility fractures

DEXA scans can pick up and confirm osteoporosis if an individual is identified as having risk factors and their medical history supports further testing (as determined by their treating doctor).

The T-score, used to assess the risk of osteoporosis and fractures, compares a person's bone density to that of a healthy young adult of the same sex at peak bone mass. A lower T score indicates a higher risk of osteoporosis and fractures (2.5 standard deviations below the mean compared to normal young adult sex-matched controls). 

Osteoporosis are often diagnosed by a general practitioner. Other medical specialists that may be involved in the diagnosis of this condition are endocrinologists. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • A normal traumatic fracture* - fracture SOP
  • Localised osteoporosis 
  • Osteogenesis imperfecta
  • Osteomalacia #
  • Osteonecrosis 
  • Osteomyelitis 
  • Osteopenia- declared not a disease by RMA
  • Malignant or benign neoplasm of bone
  • Reduced bone density not meeting the minimum decrease in bone density requirement in the SOP

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when bone densitometry results first confirmed the diagnosis based on the established threshold and criteria or when an osteoporotic fracture first occurred.

Clinical worsening

For worsening there would need to be evidence of an accelerated decrease in bone density, beyond that which occurs normally with age.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/osteoporosis-n032-m800-m809m810-m81/rulebase-osteoporosis/treatment-specified-drug