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Oncology & Hematology Coding Alert

You Be the Coder:

Establish Cause for Screening Breast MRI

Published on Fri Mar 20, 2015

Question: Does Medicare pay for a screening breast MRI? Our physician is scheduling a breast MRI in a BRCA2 positive patient. Delaware Subscriber Answer: You should confirm with Medicare if they cover the diagnosis V84.01 (Genetic susceptibility to malignant neoplasm of breast) in support of medical need. At the present time, they will not pay for a screening breast MRI, so you [...]
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