Health Service Code X 27G
Screening mammography for patients with the following conditions: implants, augmentation, mammoplasty, and when determined appropriate for screening by a radiologist and/or primary care physician, with the following conditions: post intervention (e.g. biopsy, excision, etc.)
NOTE:
May not be claimed in addition to HSCs X105 or X105A.
| Category: | T Test |
|---|
| Base rate: | $165.38 |
|---|
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:
| Type | Code | # of calls | Explicit | Action | Amount |
|---|
| XRAY | TOMO | | Yes | Increase By | $44.10 |
Governing Rules:
No Governing Rules.
