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Radiology Coding Alert

You Be the Coder:

Specify the Malignancy to Receive Reimbursement

Published on Mon Jun 26, 2023

Question: A patient, who is currently receiving treatment for right breast cancer, visited our radiology practice for bilateral diagnostic digital breast tomosynthesis and bilateral diagnostic mammography. We billed G0279-TC and 77066-TC with a C50.911 diagnosis code. The G code was paid, but the mammography code was denied for national coverage determination (NCD). The NCD states the code will be reimbursed for [...]
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