2025 CPT code 77067

Screening mammography, bilateral (two-view study of each breast), including computer-aided detection (CAD) when performed.

Follow all applicable CPT coding guidelines and payer-specific guidelines.

Modifiers 26 (professional component) and TC (technical component) may be used if applicable. Consult guidelines for appropriate usage.

Screening mammograms are medically necessary for early detection of breast cancer in asymptomatic women based on age and risk factors. This helps in early intervention and improved outcomes.

The provider (physician or technician) performs the mammography, positioning the breasts and operating the equipment. The provider reviews the resulting images, possibly with CAD assistance, to interpret findings and prepare a report.

IMPORTANT For a single view of each breast, use 77066. For a diagnostic mammography with CAD on a single breast, use 77065.Modifier 26 should be appended for the professional component only, and modifier TC for the technical component only.Modifiers are not appended when both professional and technical components are performed by the same provider.

In simple words: This code covers a screening mammogram of both breasts. Two X-ray images are taken of each breast.A computer program may help the doctor find any problems in the images.The doctor reviews these images for abnormalities.

This CPT code encompasses a bilateral screening mammography, involving two views of each breast.The procedure may include the use of computer-aided detection (CAD) software to aid in the identification of potential abnormalities. CAD software analyzes digital images to highlight areas that require closer review by the radiologist. The radiologist interprets the images, with or without CAD assistance, to assess for any abnormalities.

Example 1: A 45-year-old asymptomatic woman undergoes a routine bilateral screening mammogram as part of preventative care.The mammogram is performed with CAD, and the images are interpreted by a radiologist., A 60-year-old woman with a family history of breast cancer receives a bilateral screening mammogram with CAD.A suspicious finding is identified on one breast, prompting further diagnostic testing., A 55-year-old woman presents for a screening mammogram. The facility utilizes CAD for image enhancement and the radiologist determines the mammogram to be negative for abnormalities.

Patient demographics, date of service, views obtained (two views per breast), CAD use (if applicable), radiologist's interpretation, findings, and any recommendations for further testing.

** For electrical impedance breast scans, use code 76499.

  • Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
  • RVU: This information is not available in the provided text and requires access to a fee schedule database.
  • Global Days : Not applicable for this code.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC applies to the technical component; the hospital may not need to append it, depending on payer policy.
  • Fee Schedule : This information is not available in the provided text and requires access to a fee schedule database.
  • Specialties:Radiology, Breast Surgery, Oncology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Mobile Unit, Other Place of Service (depending on the setting where the mammogram is performed)
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