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Friday, February 20, 2015

Modifiers 59 and GG Advised for Mammo Studies

In response to an American College of Radiology (ACR) appeal to delete the newly created diagnostic/screening mammography code edits, the National Correct Coding Initiative (NCCI) medical director has notified the ACR that the Centers from Medicare & Medicaid Services (CMS) and NCCI discussed this issue during a recent teleconference call.

Aunt Minnie (2/19, Yee) reports that a study published in the February issue of the journal Radiology suggests that “breast MR is useful for working up suspicious lesions classified as BI-RADS 4 at mammography or ultrasound – and, in fact, can help avoid 92% of unnecessary biopsies.” Included in the study were “340 women with 353 lesions that were found at screening mammography (198) or ultrasound (155).” Researchers found that “breast MR identified all mammographic findings of invasive cancer and 18 of 21 mammographic findings that showed ductal carcinoma in situ (DCIS).”

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Author: Holly Suthers
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Categories: 2015, February, News, Advocacy, Research and CareNumber of views: 10077

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