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The CPT® Code 77053 refers to a mammary ductogram or galactogram, specifically focusing on the radiological supervision and interpretation for a single duct. A mammary ductogram, also known as a galactogram, is a specialized radiographic procedure that visualizes the mammary duct(s) after the introduction of a radiopaque contrast agent. This imaging technique is particularly useful for evaluating abnormalities within the ducts, such as blockages or lesions. The procedure begins with the careful insertion of a needle and cannula into the duct, allowing for the precise injection of the contrast material. Following the injection, radiographic images are captured to assess the ductal anatomy and any potential pathological changes. Once the imaging is completed, the needle and cannula are removed. It is important to note that this code specifically captures the radiological aspect of the procedure, while the actual injection and cannulation are reported separately using a surgical procedure code. This distinction is crucial for accurate medical coding and billing practices.
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The mammary ductogram or galactogram, represented by CPT® Code 77053, is indicated for various clinical scenarios where detailed visualization of the mammary ducts is necessary. The following conditions may warrant the performance of this procedure:
The procedure for a mammary ductogram or galactogram involves several critical steps to ensure accurate imaging and assessment of the mammary ducts. The following outlines the procedural steps involved:
After the mammary ductogram or galactogram is completed, patients may be advised to monitor for any unusual symptoms, such as increased pain or discharge. Typically, there are no extensive post-procedure care requirements, but patients should be informed about potential side effects related to the contrast agent, such as allergic reactions. Follow-up appointments may be scheduled to discuss the results of the imaging and any further necessary evaluations or treatments based on the findings.
| Short Descr | X-RAY OF MAMMARY DUCT | Medium Descr | MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE | Long Descr | Mammary ductogram or galactogram, single duct, radiological supervision and interpretation | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | T-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1A - Standard imaging - chest | MUE | 2 | CCS Clinical Classification | 182 - Mammography |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2007-01-01 | Added | First appearance in code book in 2007. |
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