Fee Navigator®

    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.)


    May not be claimed in addition to HSCs X105 or X105A.

    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:$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:

    TypeCode# of callsExplicitActionAmount
    XRAYTOMOYesIncrease By$44.10

    Governing Rules:

    No Governing Rules.