Wiki Mammography for male patients what is the CPT code

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JTiger115

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I have come across a chart, where a male PT with personal history of breast cancer and mastectomy came into the office for a mammography screening. G0202 is a female only code accroding to HCPCS. Generally I would suggest Diagnostic G0204 or G0206, but 2010 HCPCS has G0204 and G0206 also as female only procedures. Could I use 77055, 77056, 77057??? What do coders suggest???:confused:
 
Radiology coding is not my area of expertise, but my 2011 HCPCS book does not show codes G0204/G0206 as female only procedures. The correct G code for a screening mammo is G0202 and this is a female only procedure per the HCPCS book. I would recommend for a screening mammo you report the 77055-77057 range in this case, but you may want to verify this with your payer for their recommendation.

Hope this helps.
 
the codes are not gender specific. however the codes are specific to the reason they are there.

G0202 & 77052 are for screening only bilat all views

G0202 & 77057 screening bilat 2 vws

G0204 & 77056 bilat diagnostic

G0206 & 77055 unilat diagnostic

Men do not some in for routine screening mammo's. Even if he is no longer under treatment I would code him as a diagnostic
 
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