AHA Coding Clinic® for HCPCS - 2013 Issue 3; Ask the Editor

Contrast enhanced spectral mammography

Contrast enhanced spectral mammography is a dual-image process that combines digital mammography with contrast-enhanced images. Do the existing HCPCS Level II codes G0204, Diagnostic mammography, producing direct digital image, bilateral, all views, and G0206, Diagnostic mammography, producing direct digital image, unilateral, all views, apply to contrast enhanced spectral mammography? If so, would CPT code 96374, Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug, also be reported representing the intravenous injection of contrast? If these codes do not represent contrast enhanced spectral mammography services, please identify the appropriate code(s) to report this service. ...

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