Digitization of Mammography Images: Why did charges for digitization of mammograms deny?
Digitization of mammography images is billed using either HCPCS code G0263 or CPT code 76085. G0263 should be billed with diagnostic mammograms (CPT codes 76090 or 76091) whereas 76085 should be billed for digitization of screening mammograms (CPT code 76092). Claims for digitization will deny if the codes do not correspond as to whether a screening or diagnostic service was performed. In other words 76085, digitization of screening mammography, will deny if billed with 76090, a diagnostic unilateral mammogram. Please note 76085 was revised in 2003 from the 2002 descriptor which specifically included the term “screening.” Even though the code was revised, it is still the appropriate code for digitization of screening mammography. Related Bulletin Article: See January/February 2002 issue of Medicare Bulletin.
Related Questions
- The guidelines recommend MRI in addition to, not instead of, mammography. Why do women who get MRI screening still need to have annual mammograms?
- What are some of the challenges in reading mammograms and why are cancers sometimes missed during mammography screening?
- Digitization of Mammography Images: Why did charges for digitization of mammograms deny?
