Program_Memos / 2001 / AB-01-20

Why This Topic Matters

It matters because it describes how providers and intermediaries were expected to adjust claims processing for new mammography service codes and related Medicare billing workflows. Organizations billing these services needed the guidance to support correct reporting, system changes, and implementation on the stated effective date.

Article Sections

1. HCPCS mammography code updates and payment methodology

   This section introduces the new HCPCS mammography codes and discusses the general payment framework associated with the update. It also notes the implementation period and the need for system changes.

2. Billing requirements for institutional providers that bill the intermediary

   This section describes how institutional providers should route claims for screening and diagnostic mammography services. It covers billing forms, bill types, provider settings, and how technical and professional components are handled.

3. Billing requirements for carriers

   This section explains how carriers will receive claims for the services and notes the addition of the new G codes to the Medicare Physician Fee Schedule. It also restates the effective and implementation timing for the memo.