Code: 77067
Description: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
Context: This code is used for bilateral screening mammography, a diagnostic procedure involving a two-view study of each breast. It’s typically used for routine breast cancer screening and may include computer-aided detection (CAD) technology.
Guidelines for Proper Use
- Specific Use for Bilateral Screening Mammography: Apply 77067 for standard screening mammograms that involve imaging both breasts, usually for the purpose of early detection of breast cancer.
- Documentation of Screening Procedure: Ensure healthcare providers’ documentation includes details of the mammography, such as the use of two views for each breast and the employment of CAD, if applicable.
- Inclusion of CAD when Performed: This code includes the use of computer-aided detection technology if it’s utilized during the mammogram.
- Screening vs. Diagnostic Mammography: Distinguish 77067 from diagnostic mammography codes, which are used when there are signs or symptoms of breast disease.
- Compliance with Breast Imaging Protocols: Use 77067 in accordance with standard breast screening guidelines and protocols, as well as payer-specific rules.
Common Misuses of 77067
- Using for Diagnostic Mammography: Misuse occurs if 77067 is applied to diagnostic mammograms, which are intended for patients exhibiting symptoms or having abnormal screening results.
- Omission of CAD Details: Failing to document the use of CAD technology, when employed, can lead to incorrect coding.
- Bundling with Other Procedures: If additional procedures, like ultrasound or biopsy, are performed during the same session, they should be billed separately and not included under 77067.