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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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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.
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