Billing Beat

Preventive and Screening Services — Update – Screening Digital Tomosynthesis Mammography

December 24, 2014

Effective January 1, 2015, HCPCS code 77063 (Screening digital breast tomosynthesis, bilateral), must be billed in conjunction with the screening mammography HCPCS code G0202 (Screening mammography, producing direct digital image, bilateral, all views, 2D imaging only). Beneficiary coinsurance and deductible do not apply to claim lines with 77063. Payment for 77063 is made only when billed with an ICD-9 code of V76.11 or V76.12.

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