G0279 - 3D mammography imaging (tomosynthesis) for breast cancer screening or diagnosis
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
Digital breast tomosynthesis is an advanced 3D mammography technique that takes multiple X-ray images of the breast from different angles to create a three-dimensional picture. This procedure can be performed on one breast (unilateral) or both breasts (bilateral). It provides clearer, more detailed images than traditional 2D mammography and is used as an additional imaging tool alongside standard mammography to help detect breast abnormalities, including cancer. The 3D images allow radiologists to examine breast tissue layer by layer, which can improve cancer detection and reduce false positives.
Additional Information
This is an add-on code that must be billed with standard mammography codes. The procedure involves low-dose radiation exposure similar to traditional mammography. Some insurance plans may not cover tomosynthesis as it may be considered supplemental to standard mammography.
Category
Diagnostic Imaging
Medical Specialty
Radiology/Breast Imaging
Expected Costs
We expect this to normally be in the range of:
$50 - $300
This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Standard mammography (codes 77065 or 77066) must be performed in conjunction with this procedure
What to Expect After
- Results review with healthcare provider
- Additional imaging or biopsy if abnormalities are detected
- Routine follow-up screening as recommended by physician
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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