AMA CPT® Assistant - 2016 Issue 2 (February)

Radiology: Breast, Mammography (Q&A) (February 2016)

February 2016 page 14a Radiology: Breast, Mammography Question: What are the appropriate codes to report a screening mammography of a woman who has breast implants for cosmetic reasons? Answer: According to the American College of Radiology (ACR) Practice Parameter for the Performance of Screening and Diagnostic Mammography, a screening mammogram should be performed on asymptomatic women with breast implants. In addition, the Centers for Medicare and Medicaid Services' (CMS') payment policy for a diagnostic mammogram does not recognize mammograms performed on asymptomatic patients with augmented breasts as diagnostic. There are two codes to report screening mammograms: code 77057, Screening...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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