Question:

Is there a more appropriate CPT code than 77067 with an add-on code of 77063 for a screening mammogram with tomosynthesis for a patient who has had a unilateral mastectomy?

Answer:

If a unilateral screening mammogram is ordered (for instance in a patient with a unilateral mastectomy) and performed, you report the screening code(s) with modifier -52.  If both a screening mammogram and tomosynthesis are performed, you would report codes 77067-52 and 77063-52.

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