Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.3

SNF Mammography Payment

Last amended: 2017Year: 2017Length: 92 wordsOfficial source
20.3.1.3 - SNF Mammography Payment (Rev. 3844, Issued: 08-18-17, Effective: 01-01-18, Implementation: 01-02-18) Payment for screening mammography in a SNF is equal to the lower of: charge, or TC of MPFS for code 77067. No deductible, coinsurance applies. Payment for diagnostic mammography, bilateral in a SNF is equal to the lower of: charge, or TC of MPFS for code 77066* (G0204*). Deductible and coinsurance apply. Payment for diagnostic mammography, unilateral in a SNF is equal to the lower of: charge, or TC of MPFS for code 77065* (G0206*). Deductible and coinsurance apply.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.3: SNF Mammography Payment | Justis AI