Basic about New Breast Tomosynthesis cpt codes
Digital 3-D breast imaging (tomosynthesis) is able to diagnose smaller lumps and to lower false positives. Input from multiple radiology groups prompted creation of the new diagnostic (77061 and 77062) and screening (77063) tomosynthesis codes in order to describe the additional resources involved with the newer technology. Breast procedures are always little complicated like breast biopsy, ultrasound exam. But, if once you understood the whole concept, it is easy to apply these codes.
Digital breast tomosynthesis (DBT), also know as three-dimensional (3D) mammography, creates a three-dimensional image of the breast from many angles using low dose x-rays. The breast is positioned in a similar fashion like in mammogram, while a scanner rotates around the breast in an arc formation. Several images, usually between 10 to 15, are taken over approximately 7 seconds. Once the images have been taken, computer programs produce clear and highly focused 3D representations of the breast that the radiologist can then view as thin layers of breast tissue, similar to CT scan images. This technology allows for greater accuracy, easier identification of abnormalities, and a reduction in callbacks for additional testing.
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- 77061 Digital breast tomosynthesis; unilateral
- 77062 Digital breast tomosynthesis; bilateral
+77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to Diagnostic Mammography codes G0204 or G0206)
Do not report 77063 in conjunction with 76376 or 76377 (three-dimensional reconstruction), 77055 and 77056 (conventional diagnostic mammography)
Use 77063 in conjunction with 77057 (conventional bilateral screenings mammography)
Do not report 77061, 77062 in conjunction with 76376 or 76377 (three-dimensional reconstruction), 77057 (conventional bilateral screenings mammography)
CMS created HCPCS code G0279 as an add-on code to the relevant 2-D diagnostic mammography codes G0204 and G0206, when diagnostic mammography is furnished using 3-D mammography. CPT codes 77061 and 77062 are Status Indicator E, which is non-covered for Medicare.