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DRG5: Breast Procedures

  AAPC - 1.5 , AHIMA - 4, RCCB - 4 , ARRT - 2.25

This online learning course prepares coders working in the physician practice or hospital outpatient setting to assign procedure codes for diagnostic breast imaging and percutaneous breast procedures. The course discusses coding guidelines, modifier use, and bundling issues. It includes exercises and actual radiology reports for hands-on learning. At the completion of the course, a scored assessment tests the learner’s comprehension of the material.  This course will take most users about 4 hours to complete.  Topics include but are not limited to:

  • Breast anatomy
  • Screening and diagnostic mammography
  • Medicare coverage of mammograms
  • Digital breast tomosynthesis
  • Breast ultrasound
  • Breast MRI
  • Sentinel node studies
  • Breast-specific gamma and PET imaging
  • Percutaneous image-guided breast biopsy
  • Needle wire localization 

Physician practices, hospitals, free-standing imaging centers, healthcare consultants, billing companies, coding companies, legal healthcare practices.

Please see the CEU Table for more details.

Specific topics discussed in this curriculum include:

  • Medicare rules for diagnostic test orders
  • Physician supervision
  • Modifier use and unbundling
  • ICD-10-CM codes and guidelines
  • Documentation requirements specific to different studies
  • Duplex and NIPS studies
  • Functional MRIs
  • PET coverage policies
  • Radiopharmaceutical billing