CommercialCoverageMedium impact
Digital Breast Tomosynthesis
Blue Cross & Blue Shield of Mississippi·MS · Radiology, OB-GYN, Family Medicine +1 more·Medical Policy
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Digital breast tomosynthesis (DBT) screening (CPT 77063) is covered once per calendar year as an alternative to standard mammography for women beginning at age 35 under the Healthy You! Wellness benefit, effective 01/01/2018. DBT is also considered medically necessary for diagnostic purposes when used for breast cancer evaluation.
Action Required
Billing team should verify current coverage of CPT 77063 for digital breast tomosynthesis screening is properly configured in billing system for women age 35+ as part of wellness benefits (once per calendar year limit). Ensure diagnostic DBT claims include appropriate medical necessity documentation when used for breast cancer evaluation.