New mammography codes; CAD, diagnostic billing rules

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

Article Overview

This article explains mammography billing topics for radiology practices, with emphasis on Medicare-related screening and diagnostic billing considerations, computerized detection services, and the 2007 mammography code changes. It is relevant to coders, billers, radiology staff, and compliance teams who need to understand how mammography-related services were being reported during the transition from older to newer code sets. The article also presents a crosswalk of deleted and replacement mammography-related codes.

Why This Topic Matters

Mammography claims are common, and small differences in coding, documentation, and Medicare rules can affect payment and denials. This article helps readers understand the scope of the mammography code transition and the billing context around screening, diagnostic, and CAD-related services.

Article Sections

  1. Billing and ordering considerations for mammography

    General discussion of screening and diagnostic mammography billing, including Medicare-related considerations and the role of physician orders and follow-up testing.

  2. Computer-aided detection and related mammography services

    Overview of mammography-related computerized imaging services and how they fit into billing practices.

  3. 2006-2007 Medicare mammography-related coding crosswalk

    A code transition table showing older mammography-related codes alongside replacement codes used in the updated code set.

What You Will Learn

  • How the article frames screening and diagnostic mammography billing issues
  • What general types of mammography-related services are discussed
  • How the article presents the 2006-2007 coding transition for mammography-related services
  • Which code sets are referenced in the mammography crosswalk

Who Should Read This

  • Medical coders
  • Radiology billers
  • Compliance staff
  • Radiology practice managers
  • Diagnostic imaging staff

Codes Discussed

Code Ranges Discussed

  • CPT: 77000 SERIES
  • CPT: 76000 SERIES

Modifiers Discussed


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