Radiology Question for the Week of February 20, 2017

Question:

In the 2/13/17 question you said 77063 could be billed with G0202 because it was digital and not with 77067 because it was analog. Those descriptions are no longer part of the code. I have been told by multiple sources to use CPT 77063 for ALL screening mammograms except Medicare which is the G0202 until 2018. Is this not correct?

Answer:

If a payer accepts the CPT mammogram codes, then 77063 may be billed with 77067. If the payer is following Medicare’s lead and requiring the G codes for mammogram, then 77063 would be reported with G0202. We are hearing that many payers are following Medicare, but each practice should check with its own major payers.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.