icd 10 code for mammogram for patient refusing mammogram getting ultrasound instead

by Prof. Guillermo Wintheiser IV 8 min read

Full Answer

What is the ICD 10 code for inconclusive mammogram?

Inconclusive mammogram 1 R92.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2019 edition of ICD-10-CM R92.2 became effective on October 1, 2018. 3 This is the American ICD-10-CM version of R92.2 - other international versions of ICD-10 R92.2 may differ.

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 excluded note?

Z12.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z12.31 became effective on October 1, 2021. This is the American ICD-10-CM version of Z12.31 - other international versions of ICD-10 Z12.31 may differ. A type 1 excludes note is a pure excludes.

Why would a patient refuse a breast ultrasound?

If the patient doesn't have an abnormal mammogram or a breast symptom that warrants the Breast Ultrasound, the diagnosis that indicates the mental state of the patient isn't going to do it.

Why is ultrasound not used as a screening modality for the breast?

Breast ultrasound is not currently a recommended screening tool for breast cancer, because it can miss many early signs of a tumor. Some patients might be better candidates for an ultrasound compared to a mammogram. Pregnant women should usually avoid having x-rays performed unless the imaging is essential.

What is the ICD 10 code for screening ultrasound?

Encounter for other antenatal screening follow-up Z36. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z36. 2 became effective on October 1, 2021.

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.

Can Z12 31 be billed as primary diagnosis?

Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast, is assigned as the primary diagnosis and reason for the screening mammogram encounter.

What is the ICD-10 for breast ultrasound?

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 the diagnosis code for ultrasound?

Diagnostic Ultrasound Procedures CPT® Code range 76506- 76999.

What does code Z12 11 mean?

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

Does a diagnostic mammogram include an ultrasound?

This is called a diagnostic mammogram. The basic procedure for a diagnostic mammogram is the same as for a screening mammogram, but the diagnostic mammogram includes more images of the breast. Breast ultrasound uses sound waves to make images of the breast.

What is 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 ICD 10 code covers diagnostic mammogram?

Group 277065, 77066 For diagnostic mammography and screening mammography that converts to diagnostic mammography (codes 77065, 77066, or G0279)Use ICD-10-CM code N64.89 for hematoma.ICD-10-CM codes Z85. 831, Z85. 89, or Z98. 86 may be reported only until clinical stability has been established.

What is the diagnosis code for a diagnostic mammogram?

31: Encounter for screening mammogram for malignant neoplasm of breast.

What is the difference between 76641 and 76642?

CPT code 76641 for breast ultrasound represents a complete examination of all four quadrants of the breast and the retroareolar region. On the other side, the limited code, 76642, is for a focused exam of the breast that is limited to one or more of the elements included in 76641.

What is the CPT code for ultrasound?

CPT CodeCommon Modifier(s)CPT Description76705-26Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

What is the ICD-10 code for anatomy scan?

RE: basic anatomy 76805 Z36. 3 (Encounter for antenatal screening for malformations) is the appropriate ICD-10 to use with 76805.

What is Z36 89?

ICD-10 code Z36. 89 for Encounter for other specified antenatal screening is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for dating ultrasound?

2022 ICD-10-CM Diagnosis Code Z36. 87: Encounter for antenatal screening for uncertain dates.

Why is Z53.09 not carried out?

Z53.09 Procedure and treatment not carried out because of other contraindication. Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure. Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons.

What is a Z00-Z99?

Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

What is the ICd 9 code for breast ultrasound?

ICD 9 coding for Ultrasound Breast 76645 - for a patient unable to tolerate a mammogram. I work in radiology billing and am having a devil of a time getting these through Medicare. Many of our patients that cannot handle a mam are Mentally Challenged or our older clientele. Does anyone have any ideas they can send my way??

Can you do a breast ultrasound if you don't have a mammogram?

There is probably nothing you can do, besides get a waiver signed. If the patient doesn't have an abnormal mammogram or a breast symptom that warrants the Breast Ultrasound, the diagnosis that indicates the mental state of the patient isn't going to do it.