icd-10-cm code for patient whose sister had breast cancer.

by Ms. Icie Kessler II 5 min read

Family history of malignant neoplasm of breast. Z80. 3 is a billable/specific ICD-10
ICD-10
The International Classification of Diseases (ICD) is a globally used diagnostic tool for epidemiology, health management and clinical purposes. The ICD is maintained by the World Health Organization (WHO), which is the directing and coordinating authority for health within the United Nations System.
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-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z80.

Full Answer

What is the ICD 10 code for breast cancer screening?

Z12.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encntr screen mammogram for malignant neoplasm of breast. The 2021 edition of ICD-10-CM Z12.31 became effective on October 1, 2020.

What is the ICD 10 code for malignant neoplasm?

C50.919 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Malignant neoplasm of unsp site of unspecified female breast. The 2021 edition of ICD-10-CM C50.919 became effective on October 1, 2020.

What are the C codes for neoplasm of the breast?

Codes C50 Malignant neoplasm of breast C50.0 Malignant neoplasm of nipple and areola C50.01 Malignant neoplasm of nipple and areola, female

What is the ICD 10 code for breast cancer in males?

Breast Cancer ICD-10 Code Reference Sheet MALE MALE Right Right C50.021 Malignant neoplasm of nipple and areola, ... C50.121 Malignant neoplasm of central portion, r ... C50.221 Malignant neoplasm of upper-inner quadra ... 9 more rows ...

What is the ICD-10-CM code for Family history of breast cancer?

ICD-10 code Z80. 3 for Family history of 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 does code Z12 31 mean?

For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12. 39 (Encounter for other screening for malignant neoplasm of breast).

What does diagnosis code Z12 39 mean?

ICD-10 code Z12. 39 for Encounter for other screening 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 does code Z12 11 mean?

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

Can you code Z12 31 and R92 2 together?

Per the ICD-10-CM classification, R92. 2 cannot be assigned with Z12. 31 because of an Excludes1 note under Z12. 31.

What does ICD-10 R92 8 mean?

ICD-10 code R92. 8 for Other abnormal and inconclusive findings on diagnostic imaging of breast is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is Encntr?

Short description: Encntr screen mammogram for malignant neoplasm of breast. The 2022 edition of ICD-10-CM Z12.

What ICD-10-CM code is reported for a routine screening mammogram quizlet?

What ICD-10-CM code is reported for a routine screening mammogram? Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Screening/neoplasm (malignant) (of)/breast/routine mammogram Z12. 31.

What is Z00 01?

ICD-10 code Z00. 01 for Encounter for general adult medical examination with abnormal findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is diagnosis code N64 4?

ICD-10 code N64. 4 for Mastodynia is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

What is procedure code 77067?

These codes are being replaced by the following CPT codes: • 77067 - “screening mammography, bilateral (2-view study of each breast), including CAD when performed” • 77066 - “diagnostic mammography, including (CAD) when performed; bilateral” and • 77065 - “diagnostic mammography, including CAD when performed; ...

What is the code for primary malignancy?

When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy .

When to use a malignant neoplasm code?

Use a malignant neoplasm code if the patient has evidence of the disease, primary or secondary, or if the patient is still receiving treatment for the disease. If neither of those is true, then report personal history of malignant neoplasm.

What is the code for primary cancer?

If the site of the primary cancer is not documented, the coder will assign a code for the metastasis first, followed by C80.1 malignant (primary) neoplasm, unspecified. For example, if the patient was being treated for metastatic bone cancer, but the primary malignancy site is not documented, assign C79.51, C80.1.

What is the code for metastatic cancer?

If the documentation states the cancer is a metastatic cancer, but does not state the site of the metastasis, the coder will assign a code for the primary cancer, followed by code C79.9 secondary malignant neoplasm of unspecified site.

When coding malignant neoplasms, there are several coding guidelines we must follow?

When coding malignant neoplasms, there are several coding guidelines we must follow:#N#To properly code a malign ant neoplasm, the coder must first determine from the documentation if the neoplasm is a primary malignancy or a metastatic (secondary) malignancy stemming from a primary cancer.

What is a history code for cancer?

When a current cancer is no longer receiving treatment of any kind, it is coded as a history code. For instance, the patient had breast cancer (C50.xx) and underwent a mastectomy, followed by chemoradiation. The provider documents that the patient has no evidence of disease (NED).

What is C50.xx?

For instance, a patient who has primary breast cancer (C50.xx) who is now seen for metastatic bone cancer will have a code for the secondary bone cancer (C79.51) sequenced before a code for the primary breast cancer (C50.xx). When a current cancer is no longer receiving treatment of any kind, it is coded as a history code.