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Home/Diagnosis/ICD-10 Coding for Diagnostic Mammogram

ICD-10 Coding for Diagnostic Mammogram

C50.911
R92.2

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

Also Known as:
Breast Diagnostic Imaging
Mammography Diagnostic
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Key Information: ICD-10 Coding for Diagnostic Mammogram

Essential facts and insights about ICD-10 Coding for Diagnostic Mammogram

Use ICD-10 code C50.911 for malignant neoplasm of unspecified site of right female breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of unspecified site of right female breast

Billable Code
C50.911
Billable

Diagnostic Criteria

  • • Biopsy confirms invasive ductal carcinoma

Applicable To

  • • Breast cancer confirmed by biopsy

Important Notes

  • • Ensure biopsy confirmation before using this code.

Inconclusive mammogram

Billable Code
R92.2
Billable

Diagnostic Criteria

    Applicable To

    • • Inconclusive findings on mammogram

    Important Notes

    • • Document the need for additional imaging or biopsy clearly.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    R92.0

    Mammographic microcalcification found on diagnostic imaging of breast

    Use when microcalcifications are identified and require further evaluation.

    Z85.3

    Personal history of malignant neoplasm of breast

    Use to indicate a history of breast cancer in the patient's record.

    Frequently Asked Questions

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

    The ICD-10 code for a diagnostic mammogram depends on the findings. Common codes include C50.911 for confirmed breast cancer and R92.2 for inconclusive results.

    How do you code a mammogram that turns diagnostic?

    Use the GG modifier when a screening mammogram becomes diagnostic on the same day, along with the appropriate diagnostic codes.

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