Hello, colleagues!
What is the appropriate way to code for a unilateral screening mammogram (post-mastectomy). I am aware that the provider can perform diagnostic mammograms for patients with history of breast cancer, but at this stage in the patient's remission the provider deems it is more clinically appropriate to do a screening. The 77067 screening mammogram code is bilateral by definition, and there does not exist a unilateral screening code. Is there any official position from CMS as to whether this can still be billed with the standard bilateral screening mammogram code? It seems another school of thought is to bill with the 52 reduced modifier? Our provider is looking for any published information on the subject.
Many thanks!
What is the appropriate way to code for a unilateral screening mammogram (post-mastectomy). I am aware that the provider can perform diagnostic mammograms for patients with history of breast cancer, but at this stage in the patient's remission the provider deems it is more clinically appropriate to do a screening. The 77067 screening mammogram code is bilateral by definition, and there does not exist a unilateral screening code. Is there any official position from CMS as to whether this can still be billed with the standard bilateral screening mammogram code? It seems another school of thought is to bill with the 52 reduced modifier? Our provider is looking for any published information on the subject.
Many thanks!