Radiology: Breast, Mammography (Q&A) (June 2014)

June 2014 page 14c Radiology: Breast, Mammography Question: With the creation of bundled codes for image-guided breast procedures, is it appropriate to report a post-procedure mammogram after a breast biopsy? Answer: When medically necessary, it is appropriate to report a post-procedure mammogram after an image-guided breast biopsy, but only when the biopsy is performed with a modality other than mammography. Unlike a specimen radiograph (in which tissue removed during a biopsy is examined with radiography, usually to confirm the presence of calcifications), a post-procedure mammogram is performed after (rather than during) an image-guided core-needle biopsy or needle localization. In...

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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 article addresses a breast imaging coding question from June 2014 and explains how a post-procedure mammogram fits into bundled breast biopsy and localization coding. It is useful for radiology coders, breast imaging practices, and compliance staff who need to understand the scope of imaging included in image-guided breast procedure codes and related NCCI guidance. The discussion centers on mammography, breast biopsy guidance modalities, and the distinction between post-procedure imaging and imaging that is bundled into the procedure itself.

Why This Topic Matters

Breast imaging claims can be affected by whether follow-up mammography is separately reportable or already included in the primary procedure code. Understanding the article helps avoid unintentional duplicate billing and supports compliant reporting in radiology practices.

Article Sections

  1. June 2014 page 14c

    Introduces a breast mammography coding question and explains the general billing context for post-procedure imaging in relation to image-guided breast procedures.

What You Will Learn

  • How the article frames post-procedure mammography in the setting of breast biopsy and localization
  • Which types of breast imaging guidance are discussed in relation to bundled procedure coding
  • How national coding guidance is referenced in the context of breast imaging claims
  • What general kinds of procedure families are addressed in the June 2014 radiology Q&A

Who Should Read This

  • Radiology coders
  • Breast imaging billing staff
  • Compliance professionals
  • Physician documentation reviewers
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed


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