What Medical Codes Apply to 3-D Mammography?


Quick Answer

As of 2015, medical codes that apply to 3-D mammography include Current Procedural Terminology code 77063, a 3-D screening mammography code; and 3-D diagnostic mammography Healthcare Common Procedure Coding System code G0279 for bilateral or unilateral images, according to Hologic. The CPT and HCPCS codes are add-ons to existing 2-D mammography screening and diagnostic codes. Other CPT-4 codes are 77061, digital breast tomosynthesis, unilateral; and 77062, digital breast tomosynthesis, bilateral, explains Blue Cross Blue Shield of Mississippi.

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Full Answer

The 3-D mammography technology approved by the U.S. Food and Drug Administration enhances doctors' ability to detect invasive cancers with fewer patient return visits, notes Hologic. Having codes specific to diagnostic and screening 3-D mammography enables health care providers to file 3-D mammography reimbursement claims more effectively. The codes allow private insurers to fashion broader options for breast exam coverage and payment.

Digital breast tomosynthesis, or 3-D mammography, clarifies overlapping breast tissue areas by capturing three-dimensional images of the breast, states Blue Cross Blue Shield of Mississippi. The 3-D technology improves traditional two-dimensional images and reduces the need for patients to return for additional mammography spot views that delay diagnosis and cause patient anxiety.

Studies show the 3-D mammography technology detects 41 percent more invasive breast cancers than traditional mammography and reduces the number of false alarm callbacks simultaneously, according to Hologic.

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