Two of the codes are regular CPT codes (77061-77062) and the remaining code is the new HCPCS code (G0279).
Is CPT 77062 an add-on code?
Procedure 77063 is an add-on code, which can be reported with primary procedure 77076. Diagnostic digital breast tomosynthesis (G0279) does not require prior authorization. code 77065 (unilateral) or 77066 (bilateral). Procedure codes 77061 & 77062 are covered digital breast tomosynthesis facility codes only.
What is the CPT code for a 3-D mammogram?
Claims for 3D mammography should be submitting by billing the appropriate mammography code: 77061/77062 – Diagnostic digital breast tomosynthesis.
What is the CPT code 77062?
Mammography
How do you bill for breast tomosynthesis?
When breast tomosynthesis is furnished, practitioners should report one of G0202, G0204, or G0206 and one of G0279 or 77063. For purposes of billing digital breast tomosynthesis, the appropriate, accompanying 2D image(s) may either be acquired or synthesized.
How do I bill for a 3D mammogram?
Claims for 3D mammography should be submitting by billing the appropriate mammography code: 77061/77062 – Diagnostic digital breast tomosynthesis.
Is CPT 77062 covered by Medicare?
When billing non-Medicare payers, the tomosynthesis can be reported with CPT code 77061 (unilateral) or 77062 (bilateral). ... Medicare will reimburse for code G0279 but does not cover 77061 or 77062.
What is the difference between G0279 and 77062?
Although CPT codes 77061 and 77062 are available for reporting diagnostic DBT examinations, these codes may not be used for CMS claims reporting. Instead, HCPCS code G0279 must be used for reporting DBT when utilized for imaging CMS patients.
What is the CPT code for screening mammogram?
CPT or HCPCS Code Description
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77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
What is the CPT code for 3D screening mammogram?
CPT: 77051 DX TOMO UNI/BIL (Diagnostic 3D exam; could be one or both breasts. This code is used when the patient has a history of breast cancer, complains of pain or has a palpable lump or has had suspicious findings on prior mammograms).