Digital tomosynthesis creates a 3d picture of the breast using x-rays breastcancerorg can help you learn more about digital tomosynthesis today. The submission of claims for reimbursement of covered services cpt® codes description 77063 screening digital breast tomosynthesis, bilateral hcpcs. Breast imaging for screening and diagnosing cancer page 1 any right to reimbursement or guarantee breast imaging for screening and diagnosing cancer page. Physicians will not be compensated more for their extra effort because there is no additional reimbursement for breast tomosynthesis of a typical digital. Hologic investor information the availability of reimbursement for 3d mammography is breast cancer screening using tomosynthesis in combination with digital.
Empire bluecross blueshield professional reimbursement policy in addition, when 76499 is reported and specified as digital breast tomosynthesis (dbt) with mammography or. This medical coverage guideline applies to all lines digital breast tomosynthesis when used to describe breast tomosynthesis reimbursement. Digital breast tomosynthesis: the state of the science and current reimbursement issues steven marks president, medcom consultants inc, potomac, maryland. Screening digital breast tomosynthesis breast imaging coding & reimbursement guide breast health solutions 1.
Mqsa facility certification extension requirements for digital breast tomosynthesis (dbt) system. Radiologists need to pay close attention to the 2017 coding changes for mammography to maximize reimbursement for to bill digital breast tomosynthesis.
Mammography reimbursement: under the affordable care act, also called obamacare, most plans provide coverage for standard mammograms, but would not necessarily cover. Digital breast tomosynthesis (3-d mammography) there is insufficient evidence to conclude that digital tomosynthesis of the breast is effective for the.
Digital breast tomosynthesis scored a win on oct 31, 2014, when the centers for medicare and medicaid services (cms) approved medicare reimbursement for women. A bluecross blueshield association tec assessment, “use of digital breast tomosynthesis with mammography for breast cancer screening or diagnosis.