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Home/Diagnosis/ICD-10 Coding for Mammogram Screening

ICD-10 Coding for Mammogram Screening

Z12.31
Z80.3
R92.2

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

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

Essential facts and insights about ICD-10 Coding for Mammogram 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
  • • Patient is aged 40 or older
coding:
  • • Use Z12.31 only for screening, not diagnostic purposes

Applicable To

  • • Routine screening mammogram

Important Notes

  • • Ensure documentation specifies the screening nature of the mammogram.

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 documented in the patient's medical record.

Inconclusive mammogram

Billable Code
R92.2
Billable

Applicable To

  • • Dense breast tissue

Important Notes

  • • Ensure breast density is documented in the radiology report.
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 family history of breast cancer to justify screening.

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 a screening mammogram?

The ICD-10 code for a screening mammogram is Z12.31, used for routine screenings in asymptomatic patients aged 40 and older.

When should Z12.31 be used?

Z12.31 should be used for routine screening mammograms in asymptomatic women aged 40 and older, not for diagnostic purposes.

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