AmeriHealth now covers digital breast tomosynthesis (DBT), also known as 3D mammography, as a preventive benefit for our commercial members.* DBT is now covered in the same manner as traditional two-dimensional mammography. This coverage is for dates of service on or after October 5, 2015. Our claims system has recently been updated to reflect this new coverage.

Policy updates

For more information about our coverage of DBT for our commercial members, refer to the Medical Policy #09.00.52d: Digital Breast Tomosynthesis, available on our Medical Policy Portal. Select Accept and Go to Medical Policy Online, then select the Commercial tab from the top of the page. You can then type the policy name or number in the Search field.

You can also view policy information through the NaviNet^® web portal by selecting the Reference Tools transaction, then Medical Policy.

*Coverage depends on specific benefit plan terms, conditions, limitations, and exclusions. Individual benefits must be verified.

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