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Briefings on Coding Compliance Strategies (Single Article)

How to solve the screening versus diagnostic mammography puzzle
October 2005

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Code and bill mammogram based on physician’s orders The question comes up again and again for providers: Which criteria determine whether you should charge a screening versus a diagnostic mammogram? The criteria for a diagnostic exam in the hospital setting include the following three factors, says Christine Donovan-Hall, an independent imaging consultant in Brunswick, ME. If the patient presents with one of these three, it’s generally safe to code and bill a diagnostic exam, she say

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