CPT 1035F: No Summary Available

CPT code 1035F is an identified CPT entry with no descriptive summary provided in the source material. Nationally, CPT entries without available descriptions can create uncertainty for billing, claims adjudication, and provider documentation workflows because payers and clearinghouses rely on defined code descriptions to determine coverage and appropriate claim processing. This publication addresses that gap by cataloging the available metadata and clarifying what information is present and what is missing for national audiences.

Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise account of the code’s current descriptive status, which payers are considered in coverage discussions, and an outline of the types of information typically examined for billing codes (such as service type, site of service, and related coding elements). The report highlights the absence of a formal description and directs readers to expected next steps for policy and operations teams: verify payer-specific guidance, consult proprietary coding references, and monitor updates from coding authorities. This summary is intended for national health plan and provider audiences seeking clarity on coding inventories and the implications of undocumented or placeholder CPT entries.

Billing Code Overview

CPT code 1035F has no summary available in the source description. Based on the code entry, the service type and typical site of service are not specified in the input.

Service Type: Data not available in the input.

Typical Site of Service: Data not available in the input.

Clinical Context

A typical patient is an adult undergoing a screening or surveillance mammography visit in an outpatient imaging center or hospital radiology department. The visit includes image acquisition and radiologist interpretation for routine breast cancer screening or diagnostic evaluation of a palpable breast mass, focal pain, or abnormality seen on prior imaging. The clinical workflow begins with patient check-in and history (risk factors, prior surgeries, implants), technologist positioning and bilateral two-view digital mammography (or additional views as indicated), image quality review by the technologist, and transmission to a radiologist for interpretation and generation of a final report. If indicated, additional targeted views, tomosynthesis, or ultrasound may be performed in the same visit but are billed separately according to their CPT codes.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation for imaging performed by another entity or when separating the professional from technical component.
`TC`	Technical component	Use when billing only the technical component (equipment, technologist) of imaging when the physician interpretation is billed separately.

Taxonomy Code	Specialty	Notes
2085P0200X	Radiology	Diagnostic radiologists interpret mammography and breast imaging studies.
363L00000X	Radiologic Technologist	Mammography technologists perform image acquisition and positioning.
207Q00000X	Surgery	Breast surgeons coordinate diagnostic workup and may request imaging for preoperative planning.
261QM0800X	Obstetrics & Gynecology	OB/GYNs may refer for breast imaging for patients with breast complaints or screening.
207K00000X	Family Medicine	Primary care clinicians often order screening mammography and coordinate follow-up.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.	Data not available in the input.	Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`77067`	Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	Commonly performed as the primary service for routine breast cancer screening; may be billed in place of basic mammography when tomosynthesis/CAD is used.
`77063`	Screening digital breast tomosynthesis, bilateral (list separately in addition to screening mammography)	Often performed in conjunction with 2D mammography to improve cancer detection; billed in addition to screening mammography when both are performed.
`77065`	Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral or bilateral including CAD when performed	Performed for diagnostic evaluation of a symptom or abnormal screening result; may precede or follow the primary screening code if additional diagnostic views are needed.
`76641`	Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete	Frequently used as an adjunct to mammography for evaluation of palpable masses or focal abnormalities detected on mammography.
`19083`	Biopsy, breast, with placement of localization device when performed (e.g., clip), percutaneous, including imaging guidance	Performed when imaging-guided tissue sampling is required after suspicious findings on mammography or ultrasound.

OpenPayer

Summary & Overview