Why Is Medicare Denying My Claims for Mammography and Breast Biopsies?

Article Overview

This short Medicare-focused article covers a claims-processing problem affecting mammography and breast biopsy services after a coverage policy update. It explains that certain diagnosis codes were omitted from updated systems, notes that CMS planned a correction, and identifies how Medicare contractors handled affected claims. The article is relevant to billing staff, coders, and reimbursement teams monitoring Medicare coverage changes, denials, and reprocessing guidance.