Hcpcs code: g0279 hcpcs code description: diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206. Obesity, screening digital tomosynthesis mammography, and anesthesia associated with screening colonoscopy cpt only copyright 2013 american medical association. Effective january 1, 2015, new current procedural terminology (cpt ®) and healthcare common procedure coding system (hcpcs) codes for digital breast tomosynthesis. Page 1 of 4 clinical policy: digital breast tomosynthesis reference number: cpmp90 effective date: 11/11 coding implications last review date: 10/16. Hcpcs code g0279 for diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206. There is a significant change in coding for digital breast tomosynthesis (dbt) in 2015 three new procedure codes have been introduced in the 2015 cpt manual to.
Cpt code 76376, 76377 and hcpcs codes g0202, g0204 and g0206 do not specifically describe digital breast tomosynthesis cpt code 76376, 76377 and hcpcs codes g0202. The 2015 cpt® changes for reporting breast imaging procedures have resulted in several questions regarding reporting of the new codes for breast ultrasound and. Digital mammography providers should continue to bill for digital mammography and breast tomosynthesis breast imaging current procedural terminology.
Digital breast tomosynthesis when a private patient undergoes a tomosynthesis exam without a mammogram the payer can use cpt codes 77061 and 77062 for. This year brings important changes to the coding structure of digital mammography, including tomosynthesis with these changes come new coding questions, which i.
The fda's approval of the hologic 3-d mammography tomosynthesis device paves the way for health insurance carriers to approve payment. Tomosynthesis is used in 3d mammography in order to create a three dimensional image of breast tissue for better examination. Digital breast tomosynthesis (dbt), commonly called 3d mammography, uses low energy x-rays to recreate 3d images of the breast.
2017 mammogram coding changes the 2017 cpt® code set contains 3 new codes for mammograms: there are no changes to the cpt® tomosynthesis codes. Aetna considers digital breast tomosynthesis (3d mammography) cpt codes covered if selection criteria are met: 77061 - 77062: digital breast tomosynthesis.