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. The 2019 edition of ICD-10-CM Z12.31 became effective on October 1, 2018.
The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
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The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
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 are insurance billing codes for additional breast screening tests?TestCPT Code2D Mammogram (screening)77067 (both breasts, 2-views of each)2D Mammogram (diagnostic)77065 (one breast) 77066 (both breasts)3D Mammogram /tomosynthesis (screening)77067 (2D both breasts) + 77063 (3D both breasts )6 more rows•Nov 3, 2021
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.
Breast Cancer ICD-10 Code Reference SheetLeftC50.012Malignant neoplasm of nipple and areola, left female breastC50.112Malignant neoplasm of central portion, left female breastC50.212Malignant neoplasm of upper-inner quadrant, left female breastC50.312Malignant neoplasm of lower-inner quadrant, left female breast8 more rows
NOTE: Mammograms will not interfere with your ICD or S-ICD. However, your device could be damaged if it gets compressed in the mammogram machine. Make sure the doctor or technician knows you have an implanted device.
ICD-9 Code V76. 12 -Other screening mammogram- Codify by AAPC.
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
9.
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.
ICD-10 Code for Unspecified lump in the right breast- N63. 1- Codify by AAPC.
"N63. 0 - Unspecified Lump in Unspecified Breast." ICD-10-CM, 10th ed., Centers for Medicare and Medicaid Services and the National Center for Health Statistics, 2018.
ICD-10 Code for Mastodynia- N64.