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Breast Imaging Frequently Asked Questions Update 2021 Q ...

Breast Imaging Frequently Asked Questions Update 2021 pg. 1 The following Q&As address Medicare guidelines on the reporting of Breast Imaging procedures. Private payer guidelines may vary from Medicare guidelines and from payer to payer; therefore, please be sure to check with your private payers on their specific Breast Imaging guidelines. Q: What differentiates a diagnostic from a screening mammography procedure? Medicare s definitions of screening and diagnostic mammography, as noted in the Centers for Medicare and Medicaid s (CMS ) National Coverage Determination database, and the American College of Radiology s (ACR s) definitions, as stated in the ACR Practice Parameter of screening and Diagnostic Mammography, are provided as a means of differentiating diagnostic from screening mammography procedures. Although Medicare s definitions are consistent with those from the ACR, the ACR's definitions of screening and diagnostic mammography offer additional insight into what may be included in these procedures.

Breast Imaging Frequently Asked Questions Update 2021. pg. 2 Screening mammography is a radiological examination to detect unsuspected breast cancer in asymptomatic women. Standard views are obtained, and thus the interpreting physician does not need to be present at the facility to monitor the examination when the patient is imaged.

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  Screening, Breast, Cancer, Breast cancer

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