Breast & Bone Density Procedure Coding Guide

A simpler pathway to correct coding for mammography and more

Continually advancing and constantly presenting new challenges to your coding and billing — that's the nature of breast and bone density procedures. And then there are those recurring problem areas, whether it's confusion over how to report a screening vs. diagnostic mammogram or noncompliance with post-procedure mammogram coding guidelines. Today, more than ever, you need this unique how-to resource! It covers Medicare coding and billing requirements for a full range of diagnostic and interventional procedures. Plus, it's easy to navigate, thanks to the quick-reference coding charts and payment tables, concise code descriptions, coding examples and billing tips.

Features and Benefits

• Updated and NEW information:
  • Many new, deleted and revised codes for reporting procedures, including:
    • Fine needle aspiration
    • Breast MRI with CAD, both with and without contrast
    • Ultrasound elastography
    • MR elastography
    • Pulse-echo ultrasound bone density measurement
• Step-by-step through coding for a full range of diagnostic and interventional procedures, including breast interventions, mammography, digital breast tomosynthesis, bone density scans (DEXA/DXA) and imaging guidance (ultrasonic, CT and MR)
• Easy to navigate — organized by types of procedures and technologies, and then by CPT^®/HCPCS code sequence
• Covers code assignments by both hospital (technical) and physician (professional) entities
• Each section includes:
  • Listings of CPT/HCPCS codes, revenue codes and modifiers, along with the corresponding procedures
  • Medicare payment table containing RVUs and hospital OPPS rates
  • Description of procedures by CPT/HCPCS codes
  • Billing tips
• Special help with common areas of confusion and noncompliance, such as:
  • The use of "complete" CPT codes for breast interventions
  • When you may code for a diagnostic and screening mammogram during the same patient encounter
  • Inappropriate billing for evaluation and management services
  • ICD-10 coding for various procedures, including bone density scans

CPT^® is a registered trademark of the American Medical Association.

For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT^® codes. The AMA owns the copyright for CPT codes.