AHA Coding Clinic® for HCPCS - 2003 Issue 1; FOR your INFORMATION

Screening and diagnostic mammography updates from CMS

In a recent transmittal, Transmittal 791, the Centers for Medicare & Medicaid Services (CMS) published updated information on the reporting requirements for screening and diagnostic mammograms. HCPCS codes 76092 (screening mammography-film) and G0202 (screening mammography-digital) should not be billed together since only one type of screening mammography will be paid. Therefore, claims that reflect both a film screening mammography (76092) and a digital screening mammography (G0202) should not be submitted on the same claim. Additionally, HCPCS codes 76090 or 76091 (diagnostic mammography-film) and G0204 or G0206 (diagnostic mammography-digital) should never be submitted on the same claim. CMS states that...

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