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ICD-10-CM Code for Encounter for screening mammogram for malignant neoplasm of breast Z12.31

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 .

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Official Long Descriptor

Encounter for screening mammogram for malignant neoplasm of breast
Excludes1: inconclusive mammogram (R92.2)

Z12

Excludes1: encounter for diagnostic examination-code to sign or symptom

Use additional code to identify any family history of malignant neoplasm (Z80.-)

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM Z12.31 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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encounter code question
The diagnosis is N63.14. C50.919 is incorrect, as there is no cancer diagnosis, and we know it's the right breast. Z12.13 and Z12.39 are not correct, as they are for a screening. Testing will be ... [ Read More ]
encounter code question
A patient presents for a lump in the lower inner quadrant of her right breast. he provider orders a mammogram. What is the correct ICD-10-CM code for the encounter? a. N63.14 b. C50.919 c. Z12.31 d. Z... [ Read More ]
Florida Medicare 00811/00813
I work for an anesthesia group. I have a question on billing for screening colonoscopy turned diagnostic. We bill Cpt 00811-PT, dual we bill 00813 (no PT). My question is the DX order. We used to get... [ Read More ]
Colonoscopy after a positive stool test.
[QUOTE="lamiller, post: 515746, member: 553243"] Can someone tell me how this would be coded? Z12.11 followed by R19.5 and any findings? Also, just so I am understanding that any policies prior to Ma... [ Read More ]
Colonoscopy after a positive stool test.
Can someone tell me how this would be coded? Z12.11 followed by R19.5 and any findings? Also, just so I am understanding that any policies prior to May 31,2022 will not cover this? Thanks for the he... [ Read More ]
Screening w/biopsy without findings
Getting a Medicare denial for screening colonoscopy. Dr. took biopsy but nothing was found. Coded; Z12.11 45380-PT Medicare denying b/c Z12.11 is not covered on LCD and no second diagnosis(nothing f... [ Read More ]
G0121
As long as it's Medicare, I use the G0121 with the Z12.11 as the primary diagnosis. Then I'll list K57.30 or any other incidental findings after the primary Z12.11. The MAC here is NGS and they pro... [ Read More ]
Z15.09 as reason for colon biopsy specimen
Hi Lcubed You must have provider give a reason for doing colonoscopy. Those Z codes are not first listed and give no definitive illness info to the payer, too generic. Was the colonoscopy done for a... [ Read More ]
Z15.09 as reason for colon biopsy specimen
Hello all. With the ICD guideline change for Z15.09 as primary we are seeing denials. We have always coded the Ordering reason as our pathological diagnosis if no abnormalities are seen. Should we no... [ Read More ]
BC and PAP
Hello, I'm needing help coding visit. Patient come in to discuss birth control and pap smear. Tried couple of BC but have not worked and choose Nuvaring. Pap smear was collected, no issues. Provider ... [ Read More ]
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