Question:
What type of bill must be assigned for screening mammograms?
Answer:
Assign TOB 12X for screening mammograms provided to hospital inpatients under Part B and TOBs 13X, 22X, 23X, and 85X for services other than hospital inpatients. Refer to Transmittal 827 for other billing guidelines from Chapter 18 of the Medicare Claims Processing Manual for screening (as well as diagnostic) mammograms.
This question was answered in our Breast & Bone Density Procedure Coding Guide. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.
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