No. G0279 is an add-on code and must always be billed with a diagnostic mammography code (typically 77065 for unilateral or 77066 for bilateral). It is not billable as a standalone code. G0204 is an older digital mammography code and has largely been replaced, so make sure you use the correct pairing.
HCPCS Code G0279: Diagnostic Digital Breast Tomosynthesis, Unilateral or Bilateral (List Separately in Addition to 77065 or 77066)
Get insights on HCPCS Code G0279 for diagnostic breast tomosynthesis, billing, and Medicare coverage rules.
Use Code
Frequently asked questions
Both represent digital breast tomosynthesis. The key difference is payer use: - Medicare requires G0279 for diagnostic tomosynthesis. - Commercial payers generally use CPT® codes 77061 (unilateral) and 77062 (bilateral) instead.
No. G0279 applies only to diagnostic imaging. Screening mammography with tomosynthesis is billed differently.
EHR and practice management software
Get started for free
*No credit card required
Free
$0/usd
Unlimited clients
Telehealth
1GB of storage
Client portal text
Automated billing and online payments