Timing for Annual Medicare Mammograms

Medicare counts 11 full months after the month in which the patient received her screening.

For example, if Mrs. Smith received a mammogram at any time in March 2013, Medicare would start counting in April 2013, and continue until 11 full months had elapsed (i.e., February 2014). Mrs. Smith may schedule her next annual mammography-screening test as early as March 1, 2014.Note that Medicare also pays for one baseline mammogram for women with Medicare aged 35 and 39.

See the Center for Medicare and Medicaid Services publication, Screening and Diagnostic Mammography (PDF), for details about coverage, documentation, coding, payment, and more.

Updated Aug. 13, 2013 

TMA Practice E-Tips main page  

Last Updated On

May 13, 2016

Related Content

Coding | Medicare