Fee Navigator®

    Health Service Code X 27C

    Screening mammography (age 40 to 44 years inclusive)


    Refer to notes following X 27G for further information.

    Additional notes:
    • Listed under - DIAGNOSTIC RADIOLOGY:

      As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services.

    Category:T Test
    Base rate:$125.58

    AMA billing tips:

    • When tomography is used in addition to the mammography service the TOMO modifier may be claimed in addition. The modifier replaces the billing practice of claiming X105 in addition to the mammography codes.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    XRAYTOMOYesIncrease By$44.21

    Governing Rules:

    • 11.3.3

      Benefits are intended for diagnostic or therapeutic purposes. Mass screening services with the exception of HSCs X27C, X27D, X27E and X27F are not to be claimed.