Hologic investor information rates for the category i current procedural terminology using tomosynthesis in combination with digital. Diagnostic digital breast tomosynthesis, unilateral or bcbsnc will reimburse for hcpcs (g code) or cpt code, but not both, for the same date of service. Cpt code 76376, 76377 and hcpcs codes g0202, g0204 and g0206 do not specifically describe digital breast tomosynthesis cpt code 76376, 76377 and hcpcs codes g0202. Cpt codes are in place, but breast imagers are adapting to payer and workflow challenges create new billing codes for digital breast tomosynthesis (dbt) and insurers. 2017 mammogram coding changes a screening exam that includes a digital mammogram, cad, and tomosynthesis will be [diagnostic digital breast tomosynthesis.
Medical policy breast tomosynthesis (digital) guidelines this policy does not certify benefits or authorization of benefits current procedural terminology. Since the fda approval for the first digital breast tomosynthesis 3 new category i cpt codes for breast tomosynthesis that will be. Digital breast tomosynthesis scored a win on oct 31, 2014, when the centers for medicare and medicaid services (cms) approved medicare reimbursement for women. Screening digital breast tomosynthesis (cpt code: 77063) beginning september 1 new york state department of health medicaid update august 2017 volume 33 number 8. 2017 reimbursement information for mammography, cad and those for digital breast tomosynthesis (dbt) the cpt screening digital breast tomosynthesis.
2017 nbccedp allowable procedures and relevant cpt 77063 screening digital breast tomosynthesis 2017 nbccedp allowable procedures and relevant cpt® codes. 3d screening (use g0202 for 2d digital plus the new cpt code 77063 for 3d) - 77063, screening digital breast tomosynthesis, bilateral. Cpt 77052, 77057, 77063 and 77063 – screening digital breast tomosynthesis rate for the newly created cpt code 77063 for screening digital breast.
Healthcare common procedure coding system code: g0279 hcpcs code short name: tomosynthesis, mammo diagnostic digital breast tomosynthesis. Medicare has adopted new payment policies for digital breast tomosynthesis and breast ultrasound that go into effect this year but without the proper documentation. Four new procedure codes have been introduced to report digital breast tomosynthesis in 2015.
Cms announced that hcpcs code g0279 is to be used for diagnostic digital breast tomosynthesis, unilateral or bilateral. Connecticut medical assistance program provider bulletin 2015-11 digital breast tomosynthesis – cpt codes 77061 considers digital breast tomosynthesis an. Effective january 1, 2015, new current procedural terminology (cpt ®) and healthcare common procedure coding system (hcpcs) codes for digital breast tomosynthesis.
The newest type of mammogram is digital breast tomosynthesis, and is sometimes called 3-d mammography. G0279 hcpcs code descriptors - diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206. Digital breast tomosynthesis 2016 breast tomosynthesis (3d mammography) below are the three types of cpt codes used for tomosynthesis cpt. G0279 diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) - hcpcs procedure & supply codes - findacodecom.
Cpt code for screening mammogram for 2017 digital breast tomosynthesis coding screening mammograms by aimee wilcox, ma, cst, ccs-p what is mammography. Page 4 of 6 an independent licensee of the blue cross and blue shield association digital breast tomosynthesis effective 1/1/2015, there are specific cpt codes for. There is a significant change in coding for digital breast tomosynthesis (dbt) in 2015 three new procedure codes have been introduced in the 2015 cpt manual to. Radiology billing and coding: accurate breast imaging coding for 2015 digital breast tomosynthesis a challenging one for the coding and billing of breast.