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Use this page to view details for the Local Coverage Article for Billing and Coding: Tomosynthesis-Guided Breast Biopsy
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CPT code 77062 is indeed reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS) The reimbursement for this code, like others, is subject to the policies and guidelines set forth by Medicare
- Reimbursement policies for Medicare Advantage plans | UHCprovider. com
Reimbursement policy updates for providers Applicable to UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates
- 2025 HCPCS Code Update – July Edition – Correct Coding - CGS Medicare
Refer to the applicable Local Coverage Determination for information regarding Medicare reimbursement requirements Discontinued Codes Deleted Modifiers: Identifies codes and modifiers discontinued or deleted in the new cycle
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l (Facility) 0 47 $15 20 Payment for screening and diagnostic mammography services is provided under the Medicare physician fee schedule (MPFS) when furnished in hospitals, skilled nursing facilities, and critical access hospitals not electing the optional method of paym
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The PFS Look-Up Tool helps you find Medicare payment amounts for each code so you can calculate the patient coinsurance amount The PFS gives the limiting charge for nonparticipating providers and suppliers who treat Medicare patients
- Breast Imaging for Screening and Diagnosing Cancer
Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service The inclusion of a code does not imply any right to reimbursement or guarantee claim payment Other Policies and Guidelines may apply
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CMS issued the CY 2025 Physician Fee Schedule (PFS) final rule to update Medicare PFS See a summary of provisions effective January 1, 2025
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