Medicare Claims Processing Manual (Pub. 100-04), Ch. 7 § 80.2.1
Diagnostic and Screening Mammograms Performed With New
80.2.1 - Diagnostic and Screening Mammograms Performed With New
Technologies
(Rev. 1, 10-01-03)
Section 104 of the Benefits Improvement and Protection Act 2000, (BIPA) entitled
"Modernization of Screening Mammography Benefit," provides for new payment
methodologies for both diagnostic and screening mammograms that utilize advanced new
technologies for the period April 1, 2001, through December 31, 2001. See the Medicare
Claims Processing Manual, Chapter 18, "Preventive and Screening Services," for the
payment method for this period, applicable HCPCS codes, and other billing and
processing instructions.
Effective January 1, 2002, payment is based on the mammography benefit pricing file
furnished by CMS.