MedicaidBilling CodesMedium impact
Digital Breast Tomosynthesis – Outpatient Hospital Billing
Connecticut Medicaid (HUSKY Health)·CT · Radiology, Diagnostic Imaging·Provider Bulletin
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) now requires digital breast tomosynthesis services to be billed under Revenue Center Code 409 with specific CPT codes 77061-77063, reimbursed from the Physician Radiology fee schedule. This applies retroactively to services from July 1, 2016 forward, and hospitals can resubmit previously denied claims.
Action Required
Immediately: Billing team must update hospital billing systems to use Revenue Center Code 409 for all digital breast tomosynthesis services with CPT codes 77061, 77062, and 77063. Resubmit any previously denied claims for these services with dates of service from July 1, 2016 forward. Verify reimbursement rates using Connecticut's Physician Radiology fee schedule accessible at www.ctdssmap.com.