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Radiology

For the Week of December 15, 2014

Question:

We have a patient with a history of right breast mastectomy. She arrived with an order from her physician that states, "Left breast screening mammogram. Status post right mastectomy." Is it appropriate to charge G0202 (bilateral digital screening) even though we are not imaging the right side, or should we charge G0206 for unilateral even though the physician wants a screening exam and not a diagnostic?

Answer:

You would assign code G0202-52. The -52 modifier indicates that it is a unilateral screening and not a bilateral.

G0202     Screening mammography, producing direct digital image, bilateral, all views

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