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Home/Diagnosis/ICD-10 Coding for High-Risk Breast Cancer

ICD-10 Coding for High-Risk Breast Cancer

Z12.31
Z15.01

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

Also Known as:
Breast Cancer Screening for High-Risk Patients
Genetic Susceptibility to Breast Cancer
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Key Information: ICD-10 Coding for High-Risk Breast Cancer

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

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 undergoing a routine screening mammogram.
documentation:
  • • Risk factors such as genetic susceptibility or family history are documented.

Applicable To

  • • Screening mammogram for high-risk patients

Important Notes

  • • Ensure documentation specifies the type of screening and associated risk factors.

Genetic susceptibility to malignant neoplasm of breast

Billable Code
Z15.01
Billable

Applicable To

  • • BRCA1/2 genetic mutations

Important Notes

  • • Document genetic test results clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z15.01

Genetic susceptibility to malignant neoplasm of breast

Use to indicate genetic risk factors such as BRCA mutations.

Z80.3

Family history of malignant neoplasm of breast

Use to indicate family history as a risk factor.

Frequently Asked Questions

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

The ICD-10 code for high-risk breast cancer screening is Z12.31, used with additional codes like Z15.01 for genetic risk or Z80.3 for family history.

How do you code for genetic susceptibility to breast cancer?

Use ICD-10 code Z15.01 for genetic susceptibility to breast cancer, indicating confirmed genetic mutations such as BRCA1/2.

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