I bill for the professional side of radiology, and we have only had one or two patients this year have a screen and diagnostic mammo on the same day. So far we have had a hard time getting these paid. We are putting the -GG on the diagnostic mammogram, for one patient in particular, this is what we have billed out:
77067-26
77063-26
77065-26-GG
76642-26
The only thing medicare paid on the claim was the 77065 and 76642, they completely denied the screening and tomo.
77067-26
77063-26
77065-26-GG
76642-26
The only thing medicare paid on the claim was the 77065 and 76642, they completely denied the screening and tomo.
I’m thinking I have read too much now and I’m just thinking too hard, can someone spell it out simply for me? Or point me in the direction of valid info from CMS?