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Post-biopsy mammo 1st Qtr AHA Coding Clinic example question 1

Date: May 15, 2023

Question:

Please clarify if it is acceptable to bill a post-biopsy mammogram 77065 or 77066 unless it is a mammography-guided biopsy as noted in the NCCI Manual. The AHA 1st Qtr 2022 lists an example to illustrate the NCCI guidance, which I think is incorrect but others disagree.

Per AHA answer to Question 1: "It is not appropriate to assign CPT code 77065 following placement of a breast localization device represented by CPT code 19085." "In this case, since the confirming mammogram is not a diagnostic exam, it is not appropriate to additionally assign CPT code 77065."

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