Tag Archives: CPT codes

New year, new CPT modifications

Another year has come and gone and we are now entering into the most exciting time of year. Yes, that’s right, it’s CPT additions, deletions and modifications time!   Each year, coders across the United States eagerly await our new CPT books. Mine is still leaving paper dust all over my desk as I turn each newly printed page to see the updates.

Because the CPT manual puts the E&M codes in the front, I’ll list those changes first. Continue reading

Data Value: Important Mammogram Coding Change

A policy and data specialist colleague of mine was working with the 2015 NCCI data and noted that CMS had, for the first time, added screening and diagnostic mammogram codes to the edit.

Specifically, CPT 77055 and 77056 and HCPCS G0204 and G0206 (diagnostic mammography) and CPT 77057 (screening mammography) and 77063 (screening digital breast tomosynthesis, bilateral) cannot be billed on the same claim on the same date of service (DOS). Continue reading