If a film is obtained to verify the position of the clip placed during a needle localization procedure, can we bill this with the unilateral mammogram code 77065?
Per NCCI 2020, if the breast biopsy and/or localization wire/clip placement was performed under mammographic guidance, a follow-up mammogram may not be coded. The radiologic guidance codes include all imaging by the defined modality required to perform the procedure. However, if the surgical procedure was performed using a different guidance modality (e.g., stereotactic, ultrasound, or MRI), the follow-up mammogram may be separately reported.
This question was answered in our Breast & Bone Density Procedure Coding Guide. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.