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Home/Diagnosis/ICD-10 Coding for Breast Cancer Screening

ICD-10 Coding for Breast Cancer Screening

Z12.31
Z80.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for breast cancer screening includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Mammogram Screening
Breast Screening
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Key Information: ICD-10 Coding for Breast Cancer Screening

Essential facts and insights about ICD-10 Coding for Breast Cancer Screening

Use ICD-10 code Z12.31 for encounter for screening mammogram for malignant neoplasm of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for screening mammogram for malignant neoplasm of breast

Billable Code
Z12.31
Billable

Diagnostic Criteria

clinical:
  • • Patient is asymptomatic and undergoing routine screening.
documentation:
  • • BI-RADS score documented as 1 or 2.

Applicable To

  • • Routine screening mammogram for breast cancer

Important Notes

  • • Ensure documentation specifies 'screening' and absence of symptoms.

Family history of malignant neoplasm of breast

Billable Code
Z80.3
Billable

Applicable To

  • • Family history of breast cancer

Important Notes

  • • Supports medical necessity for screening.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.3

Family history of malignant neoplasm of breast

Use to indicate family history supporting screening necessity.

Frequently Asked Questions

What is the ICD-10 code for breast cancer screening?

The ICD-10 code for breast cancer screening is Z12.31, used for asymptomatic patients undergoing routine mammograms.

When should Z12.31 be used?

Use Z12.31 for routine screening mammograms in asymptomatic patients, ensuring documentation specifies 'screening' and includes a BI-RADS score.

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