For the Week of February 20, 2017

In the 2/13/17 question you said 77063 could be billed with G0202 because it was digital and not with 77067 because it was analog. Those descriptions are no longer part of the code. I have been told by multiple sources to use CPT 77063 for ALL screening mammograms except Medicare which is the G0202 until 2018. Is this not correct?

If a payer accepts the CPT mammogram codes, then 77063 may be billed with 77067. If the payer is following Medicare’s lead and requiring the G codes for mammogram, then 77063 would be reported with G0202. We are hearing that many payers are following Medicare, but each practice should check with its own major payers.