Medicare Restrictions for Mammogram

Just a reminder regarding the Medicare guidelines for mammograms.  If the study is for screening then it is not covered by Medicare.

The Medicare guidelines are:

Three dimensional tomosynthesis of both breasts, if there is reason to suspect the presence of malignancy because of:

a)      the past occurrence of breast malignancy in the patient; or

b)      significant history of breast or ovarian malignancy in the patient’s family; or

c)      symptoms or indications of breast disease found on examination of the patient by a medical practitioner