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CPT 77067: Screening Digital Mammography with Computer‑Aided Detection
CPT code 77067 represents bilateral screening mammography performed with digital imaging and includes the use of computer‑aided detection (CAD) when applied. As a widely used preventive imaging service, this code supports early detection of breast cancer and is a key element of national screening programs and payer coverage policies. It is relevant to radiology departments, outpatient imaging centers, and policy analysts monitoring preventive care utilization. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents, the clinical context for routine breast cancer screening, and comparisons to related mammography codes used for diagnostic indications and tomosynthesis. The publication summarizes payer coverage patterns and common billing practices, explains typical sites of service, and outlines where 77067 fits alongside diagnostic mammography and supplemental imaging codes. This context is intended for billing professionals, radiology clinicians, and policy stakeholders seeking a national overview of screening mammography coding and classification. Data not available in the input where specific benchmarks or regional policy variations would ordinarily appear.
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Billing Code Overview
CPT code 77067 describes a screening mammography using digital imaging with computer‑aided detection (CAD). The procedure involves obtaining two X‑ray views of each breast for routine screening; specially designed software may be used to convert image signals into digital data and analyze images to help identify potential abnormalities.
Service Type: Screening mammography with CAD (digital imaging)
Typical Site of Service: Outpatient imaging centers or hospital radiology departments
National Reimbursement Benchmarks
Across national payers, Medicare’s mean rate of $87.7 sits well below BUCA’s average commercial mean of $145.6, indicating a sizeable gap between public and this pooled commercial benchmark. The median for Medicare is $93, close to its mean, while BUCA’s median of $135.8 is noticeably higher, reflecting that commercial reimbursements commonly exceed Medicare for CPT 77067.
Dispersion measured as P75 minus P25 highlights variability differences: Blue Cross Blue Shield has a range of $75.7 (P75 $191.1 minus P25 $115.4), UnitedHealth Group shows a tighter range of $88.2 (P75 $166.0 minus P25 $74.8) while Cigna’s range is $115. - calculated as P75 $182.1 minus P25 $67.2, and Aetna’s range is $78.0 (P75 $137.5 minus P25 $59.9). BUCA’s interquartile spread is $89.8 (P75 $178.6 minus P25 $94.8). Cigna displays the widest IQR, and Aetna the tightest among those with full quartile data.