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.
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 .
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).
The Annual Routine Physical Exam can be documented using codes 99385-99387 for new patients and codes 99395-99397 for established patients.
ICD-10-CM Code for Unspecified lump in the right breast, upper outer quadrant N63. 11.
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 .
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast. The Medicare deductible and co-pay/coinsurance are waived for this service.
ICD-10-CM Code for Encounter for screening mammogram for malignant neoplasm of breast Z12. 31.
Physical Exam CPT Codes For Established Patients CPT 99393: Established patient annual preventive exam (5-11 years). CPT 99394: Established patient annual preventive exam (12-17 years). CPT 99395 Established patient annual preventive exam (18-39 years).
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Well Women Exam CPT Code CPT G0101 may be used to report Well Woman Exam. The description of the CPT code for Well woman is as follows: “Cervical or vaginal cancer screening; pelvic and clinical breast exam.”
Abnormal mammogram results occur when breast imaging detects an irregular area of the breast that has the potential to be malignant. This could come in the form of small white spots called calcifications, lumps or tumors called masses, and other suspicious areas.
The mammogram was inconclusive, meaning the radiologist could not give an impression based on the data. Another mammogram or other testing may be necessary. The results are normal, negative, or benign. The mammogram revealed benign, or non-cancerous abnormalities such as calcifications or fibroadenomas.
793.80 - Abnormal mammogram, unspecified | ICD-10-CM.
N63. 0 - Unspecified lump in unspecified breast | ICD-10-CM.
The 2022 edition of ICD-10-CM Z00.00 became effective on October 1, 2021.
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: