MPM Publications
Just announced, beginning July 2005, Medicare will cover V76.11 for a Screening Mammogram.
According to a recent CMS Program Transmittal, you will be able to use diagnosis code V76.11 (special screening for malignant neoplasm, screening mammogram for high risk patients) as an acceptable diagnosis code for a Medicare-covered screening mammography beginning this July. The only diagnosis code currently permitted is V76.12 (special screening for malignant neoplasm, other screening mammography).
Payment for a screening mammography based on high-risk indicators was forbidden by the Balanced Budget Act of 1997, CMS says. That eliminated the use of V76.11, but CMS now says it is necessary to allow this diagnosis code to assure proper coding of the service.
This information was obtained from the January 18, 2005 issue of Physician Billing & Reimbursement E-News.
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