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Mammography for male patients what is the CPT code

  1. Question Mammography for male patients what is the CPT code
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    I have come across a chart, where a male PT with personal history of breast cancer and mastectomy came into the office for a mammography screening. G0202 is a female only code accroding to HCPCS. Generally I would suggest Diagnostic G0204 or G0206, but 2010 HCPCS has G0204 and G0206 also as female only procedures. Could I use 77055, 77056, 77057??? What do coders suggest???

  2. #2
    Overland Park, KS
    Radiology coding is not my area of expertise, but my 2011 HCPCS book does not show codes G0204/G0206 as female only procedures. The correct G code for a screening mammo is G0202 and this is a female only procedure per the HCPCS book. I would recommend for a screening mammo you report the 77055-77057 range in this case, but you may want to verify this with your payer for their recommendation.

    Hope this helps.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  3. Default
    the codes are not gender specific. however the codes are specific to the reason they are there.

    G0202 & 77052 are for screening only bilat all views

    G0202 & 77057 screening bilat 2 vws

    G0204 & 77056 bilat diagnostic

    G0206 & 77055 unilat diagnostic

    Men do not some in for routine screening mammo's. Even if he is no longer under treatment I would code him as a diagnostic

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