tci Part B Insider - 2003 Issue 26

Diagnostic Tests: How to Bill 76092 on the Same Day As 76090 or 76091

When screening mammograms turn diagnostic, it's important to be agnosticGood news can sometimes become confusing, especially when it lets you bill for two things on the same day. Since the start of 2002, Medicare has paid for both 76092 (Screening mammogram) and 76090 or 76091 (Diagnostic mammogram) on the same day. But many providers still find the rules confusing, judging from carrier Arkansas Medicare Services' latest frequently asked questions list. Providers aren't sure how to code both mammograms and what diagnosis codes to use. In the past, providers who performed both screening and diagnostic mammograms on the...

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