Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography

Medicare covers annual screening mammography for women aged 40 and over (and one baseline at ages 35–39) using bilateral CC and MLO views, with no Part B deductible or coinsurance. Diagnostic mammography, breast ultrasound, breast MRI, and ductography are covered when specific clinical indications exist and require appropriate orders/referrals and facility/provider qualifications (FDA/MQSA certification and specified supervision levels); screening and diagnostic services have modality, frequency, and billing limitations (e.g., one screening per ~12 months, one modality per claim/year, transportation rules).

"Medicare covers annual screening mammography for all women age >=40 and one baseline screening mammography for women age 35-39, using bilateral views."

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