Is there a guideline that states that patients with a history of mastectomy must revert to a screening mammography study after a set number of negative diagnostic studies or after a specified number of years post-mastectomy?
The American College of Radiology (ACR) considers patients who have been treated for breast cancer (either with breast conservation or mastectomy) as high-risk patients, an indication for a diagnostic mammogram for the rest of their lives. However, the Centers for Medicare and Medicaid Services (CMS) allows the attending physician and the patient the flexibility to choose whether they want to continue with a diagnostic mammogram or revert back to the screening process.
This question was answered in our Breast & Bone Density Procedure Coding Guide. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.