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Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

2018 CPT code changes for Mammogram


Effective for claims with dates of service on or after January 1, 2018, the HCPCS codes G0202, G0204 & G0206 will be replaced by the following CPT codes:

77067 - “screening mammography, bilateral (2-view study of each breast), including CAD when performed”
77066 - “diagnostic mammography, including (CAD) when performed; bilateral” and
77065 - “diagnostic mammography, including CAD when performed; unilateral”.

As part of the January 2017 HCPCS code update, code G0389 was replaced by CPT code 76706. Type of Service (TOS) “5” was assigned to 76706, and the coinsurance and deductible were waived.

Effective January 1, 2018, the TOS for 76706 will be changed to “4” as part of the 2018 HCPCS update; the coinsurance and deductible will continue to be waived.


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