Breast & Bone Density Procedure Coding Guide

Coding in 2025 will not get easier leaving reimbursement and compliance on the line. Get comprehensive coding and billing help with a full range of breast imaging and bone density procedures, including mammography, breast interventions, DEXA/DXA and imaging guidance.

Price range: $275.00 through $285.00

Breast & Bone Density Procedure Coding Guide

Price range: $275.00 through $285.00

Seek 2026 Coding Knowledge Security in a Time of Economic Turbulence with an Expertly Aggregated Resource

With a cloud of economic uncertainty looming over 2026, you can’t afford to be without professional guidance for coding and compliance. “Frequently performed” does not necessarily translate to “easy coding.” This is the case with coding and billing for mammography and other breast imaging procedures, as well as bone density scans — among the most common services in hospitals and imaging centers. Every year brings advances in technologies and procedures, along with new state and federal mandates and changes to codes and coding guidelines. Is your department staying on top of all these changes?

Through years of change, coders and billing departments have depended on the steady guidance provided by our Breast & Bone Density Procedure Coding Guide. With new AI and ablation-related codes presenting future risks, coders must ensure accurate documentation to support proper billing and reduce audit risk.  In one resource, you get comprehensive help, from clear explanations of CPT® codes and their practical application, to clarification of common questions. If the full, appropriate payment is important to your facility, you need this tried-and-true guide!

2026 Features and Benefits

In this edition:
  • New Category III Ablation Codes
  • New AI-related Category III Codes
  • Regulatory updates: Alternative standard for breast density phrasing (approved July 2025) affects reporting and patient communication under MQSA guidelines
  • Explanations and practical application of any new and revised codes
  • Updated billing tips and expanded guidance through common problem areas
  • The latest information on federal dense breast notification laws
  • Payment information, including reductions where the impact will fall
Our experts address common questions, concerns, and problem areas:
  • How to report a screening vs. diagnostic mammogram
  • The use of “complete” CPT codes for breast interventions
  • Clarification of when you may code for a diagnostic and screening mammogram during the same patient encounter
  • Avoiding inappropriate billing for evaluation and management services
  • Help with ICD-10 coding for various procedures, including bone density scans
  • Addressing National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUEs)
  • Documentation required to support code assignments
Clear, step-by-step guidance through the tasks you perform every day:
  • Coding for a full range of diagnostic and interventional procedures, including breast interventions, mammography, digital breast tomosynthesis, bone density scans (DEXA/DXA) —including the new trabecular bone score (TBS) measurements, and imaging guidance (ultrasonic, CT and MR)
  • Discussion of alternate imaging types such as ultrasound elastography, contrast-enhanced ultrasound and bone density ultrasound
  • Covers and translates code assignments by both hospital (technical) and physician (professional) entities
A proven quick-reference approach for busy professionals:
  • Codes are organized by types of procedures and technologies, and then by CPT/HCPCS code sequence
  • Each section includes:
    • Listings of CPT/HCPCS codes, revenue codes and modifiers, along with the corresponding procedures
    • Medicare payment table containing RVUs and hospital OPPS rates
    • Description of procedures by CPT/HCPCS codes
    • Billing tips
  • Case examples and Q&As to help clarify and reinforce key points

Looking for more valuable coding education and news? Check out our Diagnostic Radiology All-Access Pass and/or our Comprehensive Radiology All-Access Pass for a full range of comprehensive educational resources that provide the best protection for your bottom line.



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Introduction
Chapter 1: Breast Imaging
  • Mammography
  • Digital Breast Tomosynthesis
  • Contrast Enhanced Spectral Mammography
  • Electrical Impedance Breast Scan
  • Magnetic Resonance Breast Scan
  • Tactile Breast Imaging
  • Ultrasound Breast Scan
  • Ultrasound Elastography (USE)
  • Quantitative Ultrasound Tissue
  • Characterization (Non-Elastographic)
  • Contrast Enhanced Ultrasound (CEUS)
  • Magnetic Resonance Elastography (MRE)
  • Breast-Specific Gamma Imaging (BSGI)
  • CT Breast
  • Positron Emission Mammography (PEM)
  • Positron Emission Mammography (PEM) with CT
Chapter 2: Mammography Interventional Procedures
  • Fine Needle Aspiration
  • Breast Cyst Aspiration
  • Galactogram (Ductogram)
  • Core Biopsy
  • Ablation
  • Needle Localization
  • Radiotherapy Afterloading Balloon Catheter and Brachytherapy
  • Sentinel Node Injection
  • Specimen Radiography
  • Optical Coherence Tomography
  • Microwave Destruction
Chapter 3: Imaging Guidance
  • Ultrasonic Guidance
  • CT Guidance
  • MR Guidance
  • Ductogram/Galactogram
Chapter 4: Bone Densitometry
  • DXA Scan
  • Trabecular Bone Score (TBS)
  • Pulse-Echo Ultrasound
  • Quantitative Ultrasound (QUS)
  • Quantitative Computed Tomography (QCT)
  • Photon Absorptiometry (SPA and DPA)
  • Single Energy X-ray Absorptiometry (SXA)
  • Biomechanical Computed Tomography (BCT)
  • Bone Quality Testing
Chapter 5: Modifiers
  • General Usage Guidelines
  • CPT Level I Modifiers
  • HCPCS Level II Modifiers
Appendix A: Mammography Services
Appendix B: Mammography Questions and Answers
Appendix C: Percutaneous Image-Guided Breast Biopsy
  • National Coverage Determination
Appendix D: Bone Mass Measurements
Appendix E: Recovery Audit Program
Appendix F: ICD-10-CM Diagnosis Coding
  • ICD-10 Coding System
Appendix G: Dense Breast Notification
Appendix H: SEER Diagram
Appendix I: A Note About COVID-19
  • Additional Supplies During the Public Health Emergency (PHE)
Appendix J: Using Artificial Intelligence to Improve Breast Screening
Product SKU PMAM
Product Categories Books
Specialties and Topics Radiology

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