| Short Descr | Dx mammo incl cad uni | Coverage | Carrier Priced | Pricing Indicator(s) | 13 – Physician Fee Schedule - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) | MPI | A – Not applicable, as HCPCS priced under one methodology | Cross-Reference(s) | 77065 | BETOS | I1C – Standard imaging - breast | TOS Code(s) | 4 – Diagnostic radiology | Added Date | 4/1/2001 | Termination Date | 12/31/2017 | 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 | Service Paid under Fee Schedule or Payment System other than OPPS | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 182 - Mammography |
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Action
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Notes
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| 2017-12-31 | Deleted | Code deleted, see 77065. |
| 2017-01-01 | Changed | Description Changed |
| 2015-01-01 | Changed | Description Changed |
| 2001-04-01 | Added | Code added 4/1/2001 |
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