by Find-A-Code
September 1st, 2017
The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on a Screening Mammography:
HCPCS/CPT Codes
77052 - | Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further review for interpretation, with or without digitization of film radiographic images; screening mammography (List separately in addition to code for primary procedure) |
77057 - | Screening mammography, bilateral (2-view study of each breast) |
77063 - | Screeningdigitalbreasttomosynthesis; bilateral (List separately in addition to code for primary procedure) |
G0202 - | Screening mammography, producing direct digital image, bilateral, all views |
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ICD-10 Codes
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Who Is Covered
All female Medicare beneficiaries aged 35 and older
Frequency
- Aged 35 through 39: One baseline
- Aged 40 and older: Annually
Medicare Beneficiary Pays
- Copayment/coinsurance waived
- Deductible waived
Other Notes
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- If billing a screening mammogram and a diagnostic mammogram on the same day, use modifier -GG to show a screening mammography turned into a diagnostic mammography.
Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.
Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.
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