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MAMMOGRAPHY - North Dakota

MAMMOGRAPHY . CPT CODES: 76090 MAMMOGRAPHY ; diagnostic, unilateral 76091 MAMMOGRAPHY ; diagnostic, bilateral 76092 MAMMOGRAPHY , screening, bilateral (two view film study of each breast). Diagnostic mammograms must be ordered by a physician or qualified non-physician practitioner and are covered as often as is medically necessary. A specific diagnosis is required. A rule-out diagnosis is insufficient medical necessity documentation. DIAGNOSIS FOR DIAGNOSTIC MAMMOGRAM. Personal history of malignant neoplasm-breast Other specified personal history presenting hazards to health Malignant neoplasm of female breast Malignant neoplasm of male breast Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb Secondary malignant neoplasm, lung Secondary malignant neoplasm, mediastinum Secondary malignant neoplasm, pleura Secondary malignant neoplasm, other respiratory organs Secondary malignant neoplasm of liver, specified as secondary Secondary malignant

MAMMOGRAPHY CPT CODES: 76090 Mammography; diagnostic, unilateral 76091 Mammography; diagnostic, bilateral 76092 Mammography, screening, bilateral (two view film study of each breast) Diagnostic mammograms must be ordered by a physician or qualified non-physician practitioner and are covered as often as is medically necessary. A specific diagnosis is required.

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