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Home/Diagnosis/ICD-10 Coding for Mammography

ICD-10 Coding for Mammography

Z12.31
R92.2
C50.911

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

Also Known as:
Mammo
Breast X-ray
mammogram
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Key Information: ICD-10 Coding for Mammography

Essential facts and insights about ICD-10 Coding for Mammography

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

  • • Patient is asymptomatic
  • • No personal history of breast cancer

Applicable To

  • • Routine screening mammogram

Important Notes

  • • Ensure patient is asymptomatic and has no personal history of breast cancer.

Inconclusive mammogram

Billable Code
R92.2
Billable

Diagnostic Criteria

  • • BI-RADS 0 result documented
  • • Need for additional imaging

Applicable To

  • • BI-RADS 0 result

Important Notes

  • • Document the need for additional imaging due to inconclusive results.

Malignant neoplasm of unspecified site of right female breast

Billable Code
C50.911
Billable

Diagnostic Criteria

  • • Biopsy-confirmed malignancy
  • • Tumor size and location documented

Applicable To

  • • Breast cancer, right side

Important Notes

  • • Ensure biopsy confirmation and document tumor specifics.
Frequently Asked Questions

What is the ICD-10 code for a screening mammogram?

The ICD-10 code for a screening mammogram is Z12.31, used for routine screenings in asymptomatic patients.

When should Z12.31 be used?

Z12.31 should be used for routine screening mammograms in patients without symptoms or a history of breast cancer.

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