NOTE: May not be claimed in addition to HSC X105A.

NOTE: May not be claimed in addition to HSCs X105 or X105A.

NOTE: Refer to notes following X 27G for further information.

NOTE: 1. Refer to notes under X27G for further information.

NOTE: 1. May be self-referred. 2. May not be claimed in addition to HSCs X26, X27 or X105A.

NOTE: 1. Benefits for HSCs X27C, X27D and X27E include patient education. A visit benefit may not be claimed in conjunction with these services by the radiologist performing the screening mammogram or by a different radiologist in conjunction with the same radiological examination. 2. Only one Screen Test or fee-for-service benefit may be claimed every calendar year. 3. HSCs X27C and X27E must be referred initially. Subsequent referrals are not required. HSC X27D does not require a referral. 4. HSCs X27C, X27D or X27E may not be claimed subsequent to HSC X27 within the same calendar year. 5. Supplementary views, refer to HSC X27F. 6. HSCs X27C, X27D, X27E, X27F (related to mammography work up), X27G, and TOMO modifier require submission of data to the Alberta Breast Cancer Screening Program through either the Alberta Society of Radiologists or the Alberta Health Services' Screening Programs. 7. HSCs X27C, X27D, X27E, and X27G may not be claimed in addition to HSCs X105 or X105A. 8. Required data submitted to the Alberta Breast Cancer Screening Program or results communication cannot be claimed as 03.01S, 03.01T or 03.05JR.