CommercialCoverageMedium impact
Computer-aided Detection in Conjunction with Digitized Screen-Film Mammography or Full-Field Digital Mammography
Blue Cross & Blue Shield of Mississippi·MS · Radiology, OB-GYN·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy clarifies coverage for computer-aided detection (CAD) with mammography: CAD with digitized screen-film mammograms is medically necessary, while CAD with direct full-field digital mammography remains investigational and non-covered. The policy was recently reviewed but statements remain unchanged from previous versions.
Action Required
Immediately: Billing team must verify mammography type before billing CAD services. For digitized screen-film mammograms with CAD, bill CPT codes 77065, 77066, or 77067 normally as medically necessary. For direct full-field digital mammograms with CAD, expect denials as these are considered investigational. Update billing edits to flag FFDM+CAD claims for review before submission.