Summary & Overview
CPT 3014F: Screening Mammography for Asymptomatic Women 40+
CPT code 3014F designates screening mammography for asymptomatic women aged 40 years or older and includes image acquisition, provider interpretation, and documentation. As a preventive imaging service, this code is central to national breast cancer early-detection efforts and influences preventive care utilization, quality reporting, and coverage policy. The code matters for payers and providers because screening mammography drives population-level screening rates, impacts downstream diagnostic service use, and is often subject to coverage mandates and performance measurement.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the service, payer coverage considerations, and what to expect in terms of service setting and coding scope. The publication summarizes benchmarks and payer policy themes, highlights relevant billing and documentation elements, and outlines how screening mammography differs from diagnostic mammography in clinical indication and coding. Data not available in the input will be identified where applicable. The content is intended for health plan analysts, revenue cycle professionals, and clinical leaders seeking a national overview of CPT code 3014F and its role in preventive imaging programs.
Billing Code Overview
CPT code 3014F represents a screening mammography performed for an asymptomatic woman aged 40 years or older to detect early breast cancer. The code covers the radiologic imaging exam, the interpretation of the images, and documentation of the results by the provider. Unlike diagnostic mammography, this service is provided when there are no signs, symptoms, or history of breast disease prompting the exam.
Service Type: Screening radiologic breast imaging
Typical Site of Service: Outpatient imaging centers or hospital outpatient departments
Clinical & Coding Specifications
Clinical Context
A 52-year-old asymptomatic woman presents for a routine screening mammogram per age-based preventive care recommendations. She has no breast complaints, no palpable masses, no nipple discharge, and no prior imaging within the last 12 months. The radiology department schedules a bilateral digital screening mammography of the breasts. At arrival, the technologist confirms patient identity, documents pertinent history (prior breast surgeries, implants, family history), and performs standard bilateral two-view mammography (craniocaudal and mediolateral oblique). The interpreting radiologist reviews prior images if available, interprets the exam, assigns a BI-RADS assessment, and documents findings in the radiology report. If an abnormality is identified, the patient is contacted and referred for diagnostic mammography or targeted ultrasound as indicated. Billing is submitted using screening mammography code 3014F with applicable payer-specific modifiers; common sites of service are outpatient radiology departments, freestanding imaging centers, and hospital-based outpatient imaging units.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default professional and technical components included | Used when billing includes both interpretation and acquisition bundled in the screening mammogram service when payer requires a modifier field but no split components apply. |