Wiki How to code digigal breast tomo synthesis mammo screenings

[mssheila]

Hello,

I'am trying to receive payment from FI for digitial breast tomosynthesis;

when dx v7611 or v7612 or 79382 or a combination with HCPC'S 77052 & 77063 & GO202.
what is the primary code that needs to be added? how is this coded for mammo screenings non diagnostic?


Thank you
sheila

 

[Lora Mccormick]

These codes are new for 2015. As an "add-on" code, 77063 is not subject to multiple procedure rules. No reimbursement reduction or modifier 51 is applied. Add-on codes describe additional intra-service work associated with the primary procedure. They are performed by the same physician on the same date of service as the primary service/procedure, and must never be reported as a stand-alone code. Report 77063 in conjunction with 77057. Do not report 77061 or 77062 in conjunction with 76376, 76377, or 77057. Do not report 77063 with 76376, 76377, 77055, or 77056. For Medicare purposes, these codes are not assigned RVUs and providers are instructed to use HCPCS Level II codes G0204, G0206, and G0279 to report these services.

Hope this helps.