What type of bill must be assigned for screening mammograms?
Assign TOB 12X for screening mammograms provided to hospital inpatients under Part B and TOBs 13X, 22X, 23X, and 85X for services other than hospital inpatients. Refer to Transmittal 827 for other billing guidelines from Chapter 18 of the Medicare Claims Processing Manual for screening (as well as diagnostic) mammograms.
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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