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Select Mammography and Associated Services

HealthChoice Select is a program designed to reduce the costs of certain, specific services. This is achieved by contracting with select medical facilities to provide these services and bill HealthChoice for a single amount for all costs associated with the service performed on the date the surgery or procedure is performed.

Under the Affordable Care Act (ACA) preventive services are covered at 100 percent with no copay or deductibles. Effective July 1, 2016, certain screening AND diagnostic mammography procedures are covered at 100 percent under the Select program when provided at a participating Select facility. The CPT codes included in the Breast Service Type are listed below. The facilities that participate in the Select program can be found on the HealthChoice website at https://gateway.sib.ok.gov/providersearch/SelectProgram.aspx.

DESCRIPTION

CPT/HCPCS

BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID

19085

BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID

19081

BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID

19083

PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID

19287

PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG

19285

PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE

19281

PUNCTURE ASPIRATION CYST BREAST

19000

Please note that all procedure codes are subject to change.