by Jared Staheli
June 25th, 2015
There is no Part B deductible for screening mammographies, however, coinsurance is applicable. The anti-markup payment limitation on physician billing for diagnostic tests does not apply to these services. Following are three categories of billing for mammography services:
• Professional component of mammography services (that is the physician’s interpretation of the results of the examination);
• Technical component (all other services); or
• Both professional and technical components (global). However, global billing is not permitted for services furnished in provider outpatient departments, except for CAHs electing the optional method of payment for mammography services furnished on or after January 1, 2002.