G0130 Single energy x-ray studySingle energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)
Status A: active, paid separately under the PFS if covered. Global period XXX. Qualifying APM participants are paid at a $33.5675 conversion factor.
G0130 appears in 7 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Rhode Island, Blue Shield of California, BlueCross BlueShield of South Carolina, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Bone Mass Measurements (0134) | covered if criteria are met | Mar 19, 2026 | payer document |
| Anthem | Bone Mineral Density Testing Measurement (CG-RAD-32) | not covered | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Bone Mineral Density Studies sad | not covered | Sep 17, 2025 | payer document |
| Blue Shield of California | | Bone Mineral Density Studies (6.01.01) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Bone Mineral Density Studies (CAM 60101) 0558T | Computed tomography scan taken for the purpose of biomechanical computed tomography analysis | listed, no stance | Feb 1, 2026 | payer document |
| Premera Blue Cross | Bone Mineral Density Studies (6.01.521) | listed, no stance | Nov 10, 2025 | payer document |
| Premera Blue Cross | Preventive Care Procedure Code(s) | Comments | covered if criteria are met | Sep 21, 2026 | payer document |
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.