Question:

What type of mammogram should a patient receive who has a personal history of biopsy-proven benign breast disease?

Answer:

According to the American College of Radiology’s Standard for Diagnostic Mammography, a diagnostic mammogram is appropriate for patients with a personal history of biopsy-proven benign breast disease. Also, as noted in Dec. 8, 1995, Federal Register, CMS expanded its definition of diagnostic mammography to include a personal history of biopsy-proven benign breast disease, thereby allowing the attending physician and the patient the opportunity to determine whether a screening mammogram or diagnostic mammogram is performed.

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.

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