Question:
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?
Answer:
Per NCCI, 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.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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