• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Coding Unilateral mammograms

Create Wiki
L

LindaKrarup

Guest
Messages
14
Best answers
0
I am trying to get info on billing unilateral mammograms. My mom had a unilateral mammogram done earlier this year. It was a regular 2 view mammogram - not on a digital machine as the facility does not have digital capabilities on site. She has a history of breast CA about 18 years ago and has had no recurrence. She received her bill listing 77055 twice and 77051 twice. First of all, I called the clinic about it for mom and they told me the billing system showed that she had two mammograms done on the same day, at two different sites - the one she always goes to and the other at a facility 10 miles away that she has never been to. This was the first error. My other question was how they warranted billing the add-on code 77051 for digital when it wasn't done digitally. If I were coding it, I would have coded just the 77055-26 and 77055-TC as they tell us that they do both components. Am I not understanding the use/description of the 77051? Can this be used if the mammo was not done on a digital machine? I believe my mom has BCBS-Alabama and Medicare as her insurance carrier so we also have the G-codes to consider in billing this too. Can anyone help me with this?
Thank you! Linda:confused:
 
You must log in or register to reply here.
Top