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Digital breast tomosynthesis; unilateral

Selenia Dimensions tomosynthesis technology has changed the paradigm of mammography. Now Hologic has advanced mammography even further with the ability to reconstruct 2D images from breast tomosynthesis data without the need for 2D exposures.

CMS announced that HCPCS code G0279 is to be used for diagnostic digital breast tomosynthesis, unilateral or bilateral. Being an add-on code, it must be submitted in addition to either HCPCS codes G0204 or G0206; it cannot be reported as a stand-alone service. Being unilateral or bilateral, HCPCS code G0279 has been assigned a bilateral indicator '2' in the Medicare Physician Fee Schedule Database (MPFSDB). A '2' indicator means special payment adjustment for bilateral does not apply. Because of this, bilateral modifiers (e.g., CPT modifier 50, HCPCS modifiers RT/LT) are not to be included and the units field should indicate a quantity of '1'.

 1 FDA PMA submission P080003/S001 2 Compared to combo mode (tomosynthesis + digital mammography)

Reporting Digital Breast Tomosynthesis Mammography in ..

Digital Breast Tomosynthesis ..

A method and system for producing tomosynthetic images of a patient's breast. An x-ray source that delivers x-rays through a breast immobilized and compressed between a compression paddle and a breast platform and form an image at a d...

3D DBT," compared with 2D digital mammography (DM) alone for screening mammography in a community-based radiology ... ">tomosynthesis (DBT), referred to as "3D DBT," compared with 2D digital mammography (DM) alone for screening mammography in a community-based radiology ...

Tomosynthesis Cpt Code - Line Leader Pediatric Therapy

Three-dimensional (3D)-mammography (tomosynthesis) may improve breast cancer detection. We examined centre-specific effect of integrated 2D/3D mammograp...

Subject: Digital Breast Tomosynthesis - Florida Blue Subject: Digital Breast Tomosynthesis

Effective January 1, 2015, new Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes for digital breast tomosynthesis were created.

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Digital Breast Tomosynthesis (DBT) Coding in 2015

CPT Codes Proposed for Breast Tomosynthesis in 2015 …

Effective January 1, 2015, new Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes for digital breast tomosynthesis were created.

(CPT) codes for breast tomosynthesis ..

3-D Mammography Screening
UnitedHealthcare is a strong supporter of women’s health initiatives, and as an integral part of its mission to help people live healthier lives, the company is offering an additional mammography option. Effective April 1, UnitedHealthcare began providing coverage for digital breast tomosynthesis, also known as three-dimensional (3-D) mammography, for breast cancer screening and diagnostic testing.

This policy update aligns with recommendations of the National Comprehensive Cancer Network (NCCN). The NCCN recently changed its recommendations to include 3-D mammography as an alternative to conventional breast cancer screening. NCCN is a not-for-profit alliance of leading cancer centers that sets standards for high-quality cancer care using evidenced-based guidelines. While not one of the Affordable Care Act preventive guideline agencies, NCCN is an additional source that UnitedHealthcare considers when determining coverage.

UnitedHealthcare’s Preventive Care Services Coverage Determination Guideline has been updated to include CPT code 77063 digital breast tomosynthesis mammography. This change applies to UnitedHealthcare fully insured and self-funded customers that follow UnitedHealthcare’s standard preventive coverage. Self-funded customers who choose not to cover 3-D mammography will need to contact their account representative to exclude the procedure from their plan documents. Please note:

CPT Codes Proposed for Breast Tomosynthesis ..

In the 2015 Medicare Physician Fee Schedule Final Rule, CMS announced that the codes for diagnostic tomosynthesis (77061 and 77062) will not be valid for Medicare billing. Instead, providers must report diagnostic tomosynthesis to Medicare using a new HCPCS code, +G0279 [Diagnostic digital breast tomosynthesis, unilateral or bilateral (List separately in addition to G0204 or G0206)]. Note that unlike 77061 and 77062, G0279 is an add-on code, meaning that it cannot be reported as a stand-alone service. For those payors that do accept codes 77061 and 77062, these codes may not be reported with the regular screening mammography code 77057. This may create some challenges when appropriately reporting screening and diagnostic studies on the same date of service. It is important to note that while new procedure codes have been created for this technology, there is no guarantee that all payers will provide separate payment. There will be a lot more information regarding the coding and reimbursement of mammography, and specifically DBT, in the coming months so it is important to consider this issue and to stay current with payers.

New codes for digital breast tomosynthesis

2D images generated from C-View software may be used in place of traditional 2D images as a part of the breast tomosynthesis exam. The 2D images created from C-View software are reviewed together with the tomosynthesis slices to make a clinical decision or diagnosis.

Tomosynthesis - 3D Mammography & X-Ray Imaging - …

While the dose of a combined breast tomosynthesis and digital mammography exam is under the MQSA and EUREF limits and deemed safe, C-View software makes lower dose 3D mammography exams possible. And together, the combined tomosynthesis and C-View exam offers superior clinical performance for all breast types compared with 2D alone.

Breast Tomosynthesis (3D Mammography) CPT Code ..

Additionally, three new codes have been created for digital breast tomosynthesis (DBT) to address both screening and diagnostic studies. The screening DBT code +77063 is an add-on code that will be reported together with the screening mammogram code 77057.

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