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Breast Mammograms with Tomosynthesis, Coding CAD Additionally

Date: Jan 22, 2015

Question:

If a hospital department is performing breast mammograms with tomosynthesis, would you say across the board that the CAD codes should not be coded additionally? The mammogram coded with the tomography code would become the base code for the CAD add-on code. We have checked, and some of the coding pairs (77062 & 77052 and 77063 & 77052) are on the NCCI edit list preventing their use together, but others (for e.g., 77061 paired with 77051) appear to be allowable. I have not been able to find any further guidance to help clarify. I would appreciate your help and expertise.

Question ID : 6406
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