Three-Dimensional (3D) Radiology Services (formerly 3D Rendering of Imaging Studies), Bundled Services and Supplies, and Modifier 59 (Distinct Procedural Service)

Anthem considers 3D rendering of imaging studies to be a technology and technique improvement that represents an aid to the physician via computer generated real-time study interpretation and decision support. These visual enhancements are considered an elective component of the overall imaging study performed and are not eligible for separate reimbursement. Modifiers will not override these edits. Therefore, for claims processed on or after August 18, 2014 for dates of service on or after January 1, 2014, the Three-Dimensional (3D) Radiology Services, Bundled Services and Supplies, and Modifier 59 (Distinct Procedural Service) reimbursement policies will be updated to indicate that CPT code 76499 (unlisted diagnostic radiographic procedure) when reported as digital breast tomosynthesis (DBT) is incidental to mammography and breast MRI codes 77055, 77056, 77057, 77058, 77059, G0202, G0204, and G0206 and will not be eligible for separate reimbursement.