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