Breast & Bone Density Procedure Coding Guide

Get steady coding and billing guidance through the constant change

For facilities that provide breast and bone density procedures, changes are occurring at multiple levels: new technologies and procedures, new state mandates, new and deleted codes and new coding guidelines. Through constant — and often confusing — change, you can depend on this coding and billing resource to guide you to the full, appropriate payment for services rendered.

Features and Benefits

Our radiology experts address common questions, concerns and problem areas, such as:

• How to report a screening vs. diagnostic mammogram
• The use of "complete" CPT^® codes for breast interventions
• Guidance with when you may code for a diagnostic and screening mammogram during the same patient encounter
• Avoiding inappropriate billing for evaluation and management services
• Help with ICD-10 coding for various procedures, including bone density scans

Updated annually to address new and problematic areas including:

• Step by step through new, revised and deleted codes for reporting breast and bone density procedures
• New information on state mandates to include digital breast tomosynthesis in mammography coverage

Clear, step-by-step guidance through the tasks you perform every day:

• 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)
• Discussion of newer imaging types such as ultrasound elastography, contrast-enhanced ultrasound and bone density ultrasound
• Covers code assignments by both hospital (technical) and physician (professional) entities

A proven approach to effective learning and quick reference for busy professionals:

• Codes are organized by types of procedures and technologies, and then by CPT/HCPCS code sequence
• 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
• Recently expanded case examples and Q&As to help clarify and reinforce key points

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.