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Sunshine Health Covers 3D Mammograms

Date: 05/10/23

Fort Lauderdale, Florida

Early detection is the key to treating breast cancer. That’s why Sunshine Health covers 3D mammograms for our members.

NO PRIOR AUTHORIZATION IS REQUIRED

Also known as digital breast tomosynthesis (DBT) or just tomosynthesis, this promising technology is becoming more common (though it is not yet available at all breast imaging centers). It uses X-rays taken from different angles to create a 3D image of the breast and has shown to be helpful examining women with dense breasts.

A new study of more than 1 million women shows just how much better this technology is: 3D mammograms find more breast cancers and have a lower false-positive rate than 2D mammograms. That lowers the chances that a patient will be called back for follow-up testing.

3D Mammogram Codes

Test

CPT Code

Description

3D Mammogram Diagnostic

77061

One breast

3D Mammogram Diagnostic

77062

Two breasts

Remember, the key to successfully treating breast cancer is to find it early, when it’s small and has not spread. That’s why your patients should undergo regular screenings.

Learn more online by visiting the American Cancer Society.

If you have questions about this notice, please call Sunshine Health Provider Services at 1-844-477-8313. Stay up to date on Sunshine Health provider notices by reviewing and bookmarking Provider News.

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