Mammography Screening

80.2 - Mammography Screening (Rev. 3053, Issued: 08-28-14, Effective: ICD-10: Upon Implementation of ICD-10 ASC-X12: 01-01-12, Implementation ICD-10: Upon Implementation of ICD-10; ASC X12: 09-30-14) Section 4163 of the Omnibus Budget Reconciliation Act of 1990 added §1834(c) of the Act to provide for Part B coverage of mammography screening for certain women entitled to Medicare for screenings performed on or after January 1, 1991. The term "screening mammography" means a radiologic procedure provided to an asymptomatic woman for the purpose of early detection of breast cancer and includes a physician's interpretation of the results of the procedure. Unlike diagnostic mammographies, there do not need to be signs, symptoms, or history of breast disease in order for the exam to be covered. The technical component portion of the screening mammography should be billed on the ASC X12 837 institutional claim format or if permissible Form CMS-1450 under bill type 22X for SNF Part A and Part B inpatients or 23X for SNF outpatients. Claims for mammography screening should include only the charges for the screening mammography.