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Outpatient Facility Coding Alert

Reader Question:
Use This Modifier for Transgender Screening Mammograms

Question: How do I code for a transgender patient receiving a screening mammogram? We have a patient listed as female on our medical records, but there’s a discrepancy with the insurance company, which lists the patient as male. The claim was denied due to gender mismatch. Oklahoma Subscriber Answer: The Centers for Medicare and Medicaid Services (CMS) cleared this up in MLN [...]