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Mammo Screening and Diagnostic Same Day

Tanya Posted Mon 25th of June, 2018 13:51:08 PM
Patient has a screening mammogram with a 3D imaging and the radiologist does a diagnostic mammogram on the same day. These are the code we've been submitting 77067-59, 77063-59, 77065-GG. Medicare covers these codes. I understood we only need one 59 modifier on just the 77067. I need clarification.
SuperCoder Answered Tue 26th of June, 2018 07:06:42 AM

Hi Tanya,

CPT 77063 is an Add-on-code, we generally do not use modifier 59 with such codes. However, there are certain scenarios where it becomes mandate to add 59 with add-on codes. But the above case will not require this modifier, as it will go along with the primary code. Please feel free to ask for any further question.

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