Correct Reporting of Diagnosis Codes on Screening Mammography Claims
This instruction requires system maintainers to reprogram edits currently in place that edit for certain primary diagnosis codes on claims containing screening mammography services. In addition, this instruction updates Chapter 18 Section 20.4 for intermediary processed claims by removing 12X type of bill (TOB) from the list of applicable TOBs for diagnostic mammography, by adding HCPCS code G0202 to the list of valid codes for the billing of screening mammography, by and
adding HCPCS codes G0204 and G0206 to the list of valid codes for the billing of diagnostic mammographies.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 28, 2006
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