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

Article Overview

This February 2016 radiology Q&A addresses mammography reporting in the setting of cosmetic breast implants. It summarizes guidance from ACR and CMS at a high level and explains that the article is focused on screening mammography coding considerations and payer-specific reporting differences. The piece is relevant to radiology coders, billing staff, and practices that perform breast imaging.

Why This Topic Matters

Breast imaging claims can be affected by whether a study is considered screening or diagnostic and by payer policy. This article helps readers understand the general coding context for mammography services in patients with implants without needing to rely on assumptions.

What You Will Learn

  • How the article frames mammography reporting for patients with breast implants
  • What organizations and policy sources are referenced in the discussion
  • How the article presents the general coding context for screening mammography claims
  • Why payer-specific considerations matter for this type of radiology service

Who Should Read This

  • Radiology coders
  • Medical billing staff
  • Breast imaging practices
  • Compliance teams
  • Revenue cycle professionals

Codes Discussed


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