2025 CPT code 3014F
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Diagnostic/Screening Processes or Results Category II Codes Feed
Screening mammography results documented and reviewed.
Modifiers may be applicable depending on the context; consult the AMA CPT manual for specific guidance regarding Category II codes.
Medical necessity for screening mammography is established by age and risk factors, guided by established guidelines from organizations like the American Cancer Society and the USPSTF.The code itself doesn't directly address medical necessity but rather the documentation and review of the results.
The clinical responsibility includes performing the screening mammography, interpreting the images, documenting the findings in the patient's medical record, and communicating the results to the patient and referring physician (if applicable).
In simple words: This code shows that a screening mammogram was done, the results were looked at by a doctor, and those results were written down in the patient's medical record.This code is used to track how well screenings are being done, not to bill for the actual mammogram itself.
This Category II CPT code, 3014F, reports the documentation and review of screening mammography results.It's a supplemental tracking code used for performance measurement, not for reimbursement. The code describes the clinical component typically included in evaluation and management services, related to screening mammography.It does not have an associated relative value.
Example 1: A 55-year-old woman undergoes a routine screening mammogram. The radiologist interprets the images as normal, and the results are documented in the patient's chart. Code 3014F is used to track the completion of this process., A 62-year-old woman has a screening mammogram revealing a suspicious finding.A diagnostic mammogram and biopsy are subsequently ordered.Code 3014F is used to document the review of the initial screening mammogram's results, even though further testing was required., A 48-year-old woman had a normal screening mammogram documented and reviewed. The patient received a letter outlining the normal findings. Code 3014F reflects the documentation and review of the screening mammogram.
The documentation should include the date of the mammogram, the interpreting physician's name, the results of the mammogram (normal or abnormal), and any further recommendations or actions based on the results. The documentation should be in compliance with applicable guidelines for clinical reporting and medical record-keeping.
** This Category II code is solely for tracking performance and quality improvement purposes. It does not replace the need for appropriate Category I codes for billing.The appropriate Category I CPT code for the actual mammography service must be used for reimbursement.
- RVU: None; this is a Category II code and does not have a relative value unit.
- Payment Status: Not applicable; this is a tracking code, not a billing code.
- Modifier TC rule: Not applicable; this code does not represent a procedure with technical and professional components.
- Fee Schedule : Not applicable; this is a Category II code and does not have a fee schedule.
- Specialties:Radiology, Breast Surgery, Oncology
- Place of Service:Office, Hospital Outpatient, Ambulatory Surgical Center, Mobile Unit, Other Place of Service (depending on where the screening mammography is performed)