Answer: WWC does not reimburse for 3D mammography, otherwise known as tomosynthesis. Typical charges for 3D mammography include the mammogram CPT code (G0202 or G0204) and an add-on code to indicate tomosynthesis (77063 or G0279). These add-on codes indicate an additional charge for tomosynthesis and cannot be used as stand-alone codes. WWC agencies should only reimburse for the mammogram CPT code, not the add-on code for tomosynthesis. There are two additional tomosynthesis codes that are not often used, 77061 and 77062. WWC does not reimbursement for these additional codes.
If you have a clinical question that you would like answered, please email Angela.FellersLeMire@state.co.us.
How does your WWC agency reimburse subcontractors that only perform 3D mammograms?
ReplyDeleteHow does your WWC agency reimburse subcontractors that only perform 3D mammograms?
ReplyDelete