Fee Navigator

    Health Service Code X 27D

    Screening mammography (age 50 to 74 years inclusive)

    NOTE:

    Refer to notes following X27E 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:$124.86

    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$43.99

    Governing Rules: