US · guidance
CMS Pub. 100-04, ch. 18, § 20.3.1.3
SNF Mammography Payment
Payment for screening mammography in a SNF is equal to the lower of:
charge, or TC of MPFS for code 77067. No deductible, coinsurance applies.
Payment for diagnostic mammography, bilateral in a SNF is equal to the lower of: charge, or TC of
MPFS for code 77066* (G0204*). Deductible and coinsurance apply. Payment for diagnostic
mammography, unilateral in a SNF is equal to the lower of: charge, or TC of MPFS for code
77065* (G0206*). Deductible and coinsurance apply.
History
(Rev. 3844, Issued: 08-18-17, Effective: 01-01-18, Implementation: 01-02-18)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
86a1e9db02996440dd464c95b4ba7879fb5e5350d05146a1059fb8acbe49be11
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