Billing Beat

Screening Mammography Services

March 27, 2017

It has come to the attention of CMS that due to existing logic in the Multi-Carrier System (MCS), claims submitted by providers that are only certified to perform film mammograms with dates of service on or after January 1, 2017 are being rejected when billing for HCPCS code G0202, G0204, or G0206. There is no provider action needed. CMS has provided instructions to the Medicare Administrative Contractors (MACs) for manual handling of claims and instructed MACs to adjust affected claims within 90 business days.

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