Mammogram Screening ICD-10-CM Codes
Discover the ICD-10-CM codes vital for documenting mammogram screenings in 2023. Stay updated with the latest coding specifics.
Fact Checked by Nate Lacson.
What ICD-10 Codes are Used for Mammogram Screening
A mammogram is an X-ray of the breast utilized primarily for screening purposes to detect early signs of breast cancer. The ICD-10-CM system has specific codes to categorize mammogram screenings and the reasons behind them.
Here are the pertinent ICD-10-CM codes for mammogram screenings:
- Z12.31: Encounter for screening mammogram for malignant neoplasm of the breast - This code is used when the primary reason for the mammogram is routine screening for breast cancer.
- Z85.3: Personal history of malignant neoplasm of the breast - Indicates that a patient has had breast cancer in the past, and this history can be a reason for ongoing monitoring with mammograms.
- Z80.3: Family history of malignant neoplasm of the breast - Indicates a family history of breast cancer, a potential risk factor leading to more frequent or earlier screenings.
Which Mammogram Screening ICD Codes are Billable:
- Z12.31: Yes
- Z85.3: Yes
- Z80.3: Yes
Clinical Information
- Mammogram screenings are vital in detecting breast cancer in its early stages when it is most treatable.
- Women aged 50-74 are generally advised to have a mammogram every two years, though starting age and frequency can vary based on risk factors.
- Mammograms can occasionally lead to false positives, which may require additional testing.
- Besides screening, diagnostic mammograms are also done to investigate specific breast problems.
- Digital and 3D mammograms are newer methods offering more detailed images, aiding in clearer diagnoses.
Synonyms Include
- Breast X-ray
- Breast radiography
- Breast cancer screening
- Digital mammography
- Tomosynthesis
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Commonly asked questions
A mammogram screening ICD-10-CM code should be utilized in medical documentation when the primary purpose of the visit is breast cancer screening or if a patient's medical or family history necessitates regular screenings.
A screening mammogram is a routine test for any signs of breast cancer. In contrast, a diagnostic mammogram is used after suspicious results on a screening mammogram or after signs of breast cancer alert the physician to check the tissue, such as a lump or pain.
A diagnosis code for mammogram screening offers a standardized way of indicating that a patient underwent a mammogram primarily for breast cancer detection. It aids in patient management, research, and insurance claims.
