Contrast enhanced spectral mammography

Contrast enhanced spectral mammography is a dual-image process that combines digital mammography with contrast-enhanced images. Do the existing HCPCS Level II codes G0204 , Diagnostic mammography, producing direct digital image, bilateral, all views, and G0206 , Diagnostic mammography, producing direct digital image, unilateral, all views, apply to contrast enhanced spectral mammography? If so, would CPT code 96374 , Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug, also be reported representing the intravenous injection of contrast? If these codes do not represent contrast enhanced spectral mammography services, please identify the appropriate code(s) to report this service. ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses coding considerations for contrast enhanced spectral mammography, a breast imaging topic that combines mammography with contrast-enhanced imaging. It is aimed at coding professionals and other revenue cycle staff who need to understand whether existing mammography and injection code options are being considered in relation to this procedure.

Why This Topic Matters

Breast imaging services can raise questions about which code set applies and whether additional services related to contrast administration are captured separately. This article is relevant for readers evaluating coding support for spectral mammography workflows and associated billing questions.

What You Will Learn

  • How the article frames coding questions for contrast enhanced spectral mammography
  • Which general code sets are being considered in connection with breast imaging and contrast administration
  • What types of coding guidance are being sought for this imaging service without disclosing the article’s conclusions
  • How the article relates to diagnostic mammography and intravenous injection billing questions

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Radiology billing staff
  • Healthcare compliance staff

Codes Discussed


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