Since the fda approval for the first digital breast tomosynthesis 3 new category i cpt codes for breast tomosynthesis that will be. 2017 nbccedp allowable procedures and relevant cpt 77063 screening digital breast tomosynthesis 2017 nbccedp allowable procedures and relevant cpt® codes. Digital breast tomosynthesis 2016 breast tomosynthesis (3d mammography) below are the three types of cpt codes used for tomosynthesis cpt. The newest type of mammogram is digital breast tomosynthesis, and is sometimes called 3-d mammography. Digital breast tomosynthesis scored a win on oct 31, 2014, when the centers for medicare and medicaid services (cms) approved medicare reimbursement for women.
Radiology billing and coding: accurate breast imaging coding for 2015 digital breast tomosynthesis a challenging one for the coding and billing of breast. Medical policy breast tomosynthesis (digital) guidelines this policy does not certify benefits or authorization of benefits current procedural terminology. The acr, along with the cpt editorial panel, created 3 new current procedural terminology (cpt) codes for digital breast tomosynthesis (dbt) cms accepted the. Mammography claims require more than correct 77063 screening digital breast tomosynthesis to “mammography claims require more than correct coding.
Four new procedure codes have been introduced to report digital breast tomosynthesis in 2015. Cpt codes are in place, but breast imagers are adapting to payer and workflow challenges create new billing codes for digital breast tomosynthesis (dbt) and insurers.
Hologic investor information rates for the category i current procedural terminology using tomosynthesis in combination with digital. Diagnostic digital breast tomosynthesis, unilateral or bcbsnc will reimburse for hcpcs (g code) or cpt code, but not both, for the same date of service.
Current procedural terminology (cpt) this medical coverage guideline applies to all lines of business unless otherwise noted in the program exceptions section. 2015 reimbursement information for mammography the current procedural terminology and digital breast tomosynthesis procedures.