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7.15.2025 Multiple BIRADS assessments for Follow-Up After Abnormal Mammogram Assessment (FMA-E) Can one follow-up event meet criteria for multiple BIRADS assessments?

Yes. One follow-up event may meet criteria for multiple BIRADS assessments. Each BIRADS assessment counts as separate denominator events, and requires the appropriate follow-up to count toward the numerator. However, one breast biopsy may meet criteria for multiple high-risk BIRADS assessments, and one mammogram or ultrasound may meet criteria for multiple inconclusive BIRADS assessments.

HEDIS MY 2025