2017 Mammogram Coding Updates

2017 Mammogram Coding Updates

12/30/2016

The CPT codes currently used for diagnostic and screening mammograms will be deleted and replaced in 2017. These codes are being replaced with new codes that include computer aided detection (CAD) when performed.

The existing diagnostic and screening mammogram codes which will be deleted are 77055, 77056 and 77057. The existing CAD codes, 77051 and 77052, will also be deleted in 2017 to accommodate the new codes.

The new codes are 77065, 77066 and 77067. The code G0202 will also include CAD beginning Jan. 1, 2017. Please begin using the new codes for services on or after Jan. 1, 2017 to avoid claim denials.

If you have questions about this bulletin, please contact Provider Education by using the Provider Education Contact Form or by calling 803-264-4730.