AMA Clinical Examples in Radiology - 2014 Issue 4 (Fall)
Radiology Test Case Answer
RADIOLOGY TEST CASE ANSWER Screening Mammography: Computer-Aided Detection (CAD) Digital Tomosynthesis HOW TO CODE 77057 Screening mammography, bilateral (2-view film study of each breast) 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) 77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) DISCUSSION Breast tomosynthesis is a digital tomographic technique performed using multiple low-dose X-ray exposures. The resulting image data is reconstructed using standard computer...
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Article Overview
This premium radiology coding article reviews a test case centered on breast imaging and the related CPT coding framework. It is aimed at coders and billing professionals who need to understand how screening mammography, computer-aided detection, and digital breast tomosynthesis are discussed in the context of CPT updates, add-on code reporting, and effective-date considerations. The article also references guidance from professional and federal sources about when certain breast imaging codes apply.
Why This Topic Matters
Breast imaging coding changed with the introduction of digital breast tomosynthesis codes, and this article helps readers identify the relevant CPT update context and related reporting issues. It is useful for organizations that bill radiology services and need awareness of code-set changes and implementation timing.
Article Sections
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HOW TO CODE
Introduces the coding scenario and lists the identifiers discussed for the radiology test case.
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DISCUSSION
Provides background on digital breast tomosynthesis, CPT update context, and general reporting considerations tied to the test case.
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SOURCE
Gives the publication source and citation details for the article.
What You Will Learn
- The radiology service categories addressed in the test case
- How the article situates the coding discussion within a CPT update
- The broader context for breast imaging code reporting and effective dates
- Which organizations or sources are referenced in the discussion
Who Should Read This
- Medical coders
- Radiology billing staff
- Revenue cycle professionals
- Compliance staff
- Healthcare administrators
Codes Discussed
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