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When to use Diagnostic mammogram CPT Code

Intro about Cpt code for Mammogram Diagnostic

Mammogram exam are performed as Screening or Diagnostic. The Screening mammogram, which is done at regular interval after crossing an age of 40, to check for any sign and symptoms, related to breast cancer. While the diagnostic Mammogram is done if there is, any diagnosis is present in breast like mass or lump or swelling etc which can lead to breast cancer. So, we are just here to learn more about diagnostic mammogram and what are CPT codes used for coding them. Cpt code for Mammogram Diagnostic is digital codes. Digital codes are G codes and are used for both screening and diagnostic mammogram. There are also numerical procedure codes for Mammogram, which are also used in coding.So, we will just see below the screening and Cpt code for Mammogram Diagnostic.

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Diagnostic mammogram CPT Code

Cpt code for Mammogram Digital

Screening Mammogram CPT Code for bilateral – G0202
In addition, for unilateral Screening Mammogram -Go202-52
CAD (Computer Aided Detection) For Screening – 77052
Diagnostic Mammogram cpt code for bilateral – G0204
Diagnostic Mammogram cpt code for unilateral – Go206
CAD (Computer Aided Detection) for diagnostic – 77051

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Cpt code for Mammogram Diagnostic Numerical

Screening Mammogram CPT Code for bilateral  – 77057
In addition, for unilateral Screening Mammogram -77057-52
CAD (Computer Aided Detection) – 77052
Diagnostic Mammogram cpt code for bilateral – 77056
Diagnostic Mammogram cpt code for unilateral – 77055
CAD (Computer Aided Detection) – 77051

Cpt code for Mammogram Diagnostic

Do and don’t with Cpt code for Mammogram Diagnostic

Do not code Procedure code 77055 along with 77056, G0204 or G0206 it will be denied if any provider submits it for the same date of service.
Do not code Procedure code 77056 along with G0204 it will be denied if any provider submits it for the same date of service.
Do not code Procedure code G0206 along with 77056 or G0204 it will be denied if any provider submits it for the same date of service.
Do code GG modifier with diagnostic Mammogram when performed with screening mammogram on the same date of service as.

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