tci Part B Insider - 2017 Issue 6

Part B Coding Coach: Master Mammography Coding with This Expert Guidance

Tip: Use a modifier when a screening turns diagnostic. Not every mammography case is clear cut and easy to report. Take a look at this mammogram 101 and become a pro at differentiating basic, intermediate, and challenging. First up is a quick rundown of what the mammography codes are, CMS’ rules for these services, and how to know which code to use for each type of patient. Read on to find out exactly how you should report straightforward mammography services in your practice. Differentiate Screening From Diagnostic For mammography reporting, your first step will always be to determine whether...

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