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Whether your insurer will require authorization for mammogram depends on their criteria for payment. Contact the number on the back of your insurance card for information specific to your plan. Most plans do not require authorization for mammogram.

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Q: Do i need a doctor's referral to get a mammogram?
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Why is it important to ask a patient if they have had a previous mammogram?

It is important because if you had a mammogram in the past then the doctors can compare the old mammogram film to the new one and see if there are any changes.


How can a woman undergo a mammogram without a doctor's recommendation?

Many mammography facilities accept "self referral." This means women can schedule themselves without a physician's referral.


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When you have a mammogram do the doctors look at your breasts or do they let you put a gown on?

You wear a gown but your breast must be uncovered while taking the mammogram so you can put it in the machine.


What happens if a mammogram is done during pregnancy?

No you should not have a mammogram during pregnancy at all. If the doctors think there is a reason to examine your breast tissue there are other tests, like an ultrasound that can be done. (Besides double ouch!!) If you had a mammogram before you were aware of the pregnancy, discuss the possible problems with your doctor or midwife.


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You will need to contact your insurance provider for a referral. Doctors generally will accept most forms of insurance.


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What is the ICD-9 for a mammogram?

V76.12 Other screening mammogram or793.80 Abnormal mammogram,unspecifiedorV76.11 Screening mammogram for high-risk patient


Have a lump between my breasts on the bone have had mammogram but didn't show anything?

See your doctor. A mammogram only screens the actual breasts. Any strange lumps need to be investigated.


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Under the Affordable Care Act, screening mammograms are covered without copay for all qualifying plans. Call the number on the back of your card to ask about your mammogram referral and whether it will be fully covered.


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