Breast Imaging Coding for Medicare in 2018
- By John Verhovshek
- In CMS
- January 24, 2018
- No Comments
The Centers for Medicare & Medicaid Services (CMS) no longer requires use of dedicated G codes when reporting breast imaging services for Medicare beneficiaries, per MLN Matters Number: MM10181.
In 2017, the CPT® codebook deleted breast imaging codes 77051-77057 and replaced them with three new codes:
77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral
77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral
77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
The above codes (unlike their predecessors) includes computer-aided detection (CAD), when performed. CAD aids in the detection of breast cancer.
Medicare did not initially adopt the new CPT® codes. Instead, CMS required the use of dedicated G codes (G0202, G0204, G0206) throughout 2017 to describe breast imaging services for Medicare beneficiaries. Beginning Jan. 1, 2018, CMS has deleted the G codes, and instead allows reporting of CPT® codes 77065, 77066, 77067.
John Verhovshek
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