2017 icd 10 code for breast cancer screening

by Mr. Milo Beatty IV 10 min read

Encounter for screening mammogram for malignant neoplasm of breast. Z12. 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the diagnosis code for breast cancer?

  • 174.0, Nipple and areola;
  • 174.1, Central portion;
  • 174.2, Upper-inner quadrant;
  • 174.3, Lower-inner quadrant;
  • 174.4, Upper-outer quadrant;
  • 174.5, Lower-outer quadrant;
  • 174.6, Axillary tail;

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What do you need to know about breast cancer screening?

  • Biopsy
  • Blood Cell Counts
  • Blood Chemistries
  • Blood Marker Tests
  • Bone Scans
  • Breast Cancer Index Test
  • Breast MRI (Magnetic Resonance Imaging)
  • Breast Physical Exam
  • Breast Self-Exam (BSE)
  • Broad Molecular Profiling Tests

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What does ICD 10 do you use for EKG screening?

The specific amount you’ll owe may depend on several things, like:

  • Other insurance you may have
  • How much your doctor charges
  • Whether your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service

What is the ICD 10 code for diagnostic mammogram?

The CPT codes used for screening mammography:

  1. Screening mammography, bilateral (two-view study of each breast), including computer-aided detection (CAD) when performed
  2. Diagnostic mammography, including CAD when performed; bilateral
  3. Diagnostic mammography, including CAD when performed; unilateral

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

An ICD-10-CM diagnosis code(s) should be linked to the appropriate CPT mammography code reported. The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast.

What is the ICD-10 code for mammography?

ICD-10 code Z12. 31 for Encounter for screening mammogram for malignant neoplasm of breast is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the difference between Z12 31 and Z12 39?

Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.

What is the ICD 9 code for screening mammogram?

ICD-9 Code V76. 12 -Other screening mammogram- Codify by AAPC.

How do you code a mammogram?

Specifically, according to cms.org, CMS instructs that mammography be described using the following codes: G0202, Screening mammography, bilateral (two-view study of each breast), including CAD when performed.

What is the diagnosis code for routine mammogram?

Group 1CodeDescriptionZ12.31Encounter for screening mammogram for malignant neoplasm of breast

What does code Z12 11 mean?

Z12. 11: Encounter for screening for malignant neoplasm of the colon.

When do you use ICD-10 code Z12 39?

39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.

What is the ICD-10 code for screening?

9.

What is the Hcpcs modifier for diagnostic mammogram left breast?

When modifier 52 is appended to the screening mammography codes 77057 or G0202 and 77052, it would be assumed that the service rendered was a unilateral mammography. The unilateral mammography would be paid at a reduced rate.

What does Z01 411 mean?

Encounter for gynecological examinationZ01.411. Encounter for gynecological examination (general) (routine) with abnormal findings Use this code if pap smear is a part of a routine gynecological examination.

What does encounter for screening mean?

Applicable To. Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

Breast and cervical cancer screenings

For screenings for breast cancer or cervical cancer, include a copy of the exam or results in the patient's record. This enables you to use the specified reporting code. Premera may request a copy of this record at a later date.

Colorectal cancer screenings

For colorectal cancer screenings, a copy of the report is required for the fecal immunochemical test (FIT) or fecal occult blood test (FOBT) screenings, but not for previous colonoscopies. The best practice is to retain a copy of patient's colonoscopy in the record. Premera may request a copy of this record at a later date.

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