CPT code 77052, 77057, 77063 and G0202, ICD 10 Z12.31

Screening Mammography

Update: Medicare now requires an add-on code when you furnish a mammography using 3-D mammography in conjunction with a 2-D digital mammography, effective January 1, 2015.

HCPCS/CPT Codes

77052 – Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further review for interpretation; screening mammography (List separately in addition to code for primary procedure)

77057 – Screening mammography, bilateral (2-view film study of each breast)

77063 – Screening digital breast tomosynthesis; bilateral (List separately in addition to code for primary procedure) (Use this as an add-on code to G0202 when tomosynthesis is used in addition to 2-D mammography)

G0202 – Screening mammography, producing direct 2-D digital image, bilateral, all views NOTE: If billing a screening mammogram and a diagnostic mammogram on the same day,

use modifier–GG to show a screening mammogram turned into a diagnostic mammogram.


ICD-10-CM Codes
Z12.31

Who Is Covered
All female Medicare beneficiaries aged 35 and older

Frequency

• Aged 35 through 39: One baseline; or
• Aged 40 and older: Annually

Beneficiary Pays

• Copayment/coinsurance waived
• Deductible waived