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Home/Diagnosis/ICD-10 Coding for Breast Screening

ICD-10 Coding for Breast Screening

Z12.31
Z80.3
R92.2

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

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

Essential facts and insights about ICD-10 Coding for Breast 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 must be asymptomatic for screening code use.
documentation:
  • • Order must specify 'screening mammogram'.

Applicable To

  • • Routine screening mammogram

Important Notes

  • • Ensure documentation specifies 'screening' to avoid denials.

Family history of malignant neoplasm of breast

Billable Code
Z80.3
Billable

Applicable To

  • • Family history of breast cancer

Important Notes

  • • Ensure family history is clearly documented.

Inconclusive mammogram

Billable Code
R92.2
Billable

Applicable To

  • • Dense breast tissue

Important Notes

  • • Ensure radiologist report supports use of this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.3

Family history of malignant neoplasm of breast

Use when there is a documented family history of breast cancer.

R92.2

Inconclusive mammogram

Use when mammogram results are inconclusive due to dense breast tissue.

Frequently Asked Questions

What is the ICD-10 code for breast screening?

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

How do you code a mammogram with dense breasts?

For a mammogram with dense breasts, use Z12.31 for screening and R92.2 for inconclusive results due to dense tissue.

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