Attention all Radiology Experts out there! Can you help with something regarding screening mammograms (cpt 77057) with ABNORMAL FINDINGS OR
PERSONAL HX OF BREAST CA OR FAMILY HX OF BREAST CA?
Scenario is as follows: Referral for patient to have annual bilateral screening mammogram but patient has symptoms of pain, lump, nipple discharge, etc.
How should this be coded? Do you code the V76.___ first and then lump or
pain or other symptoms 2ndary? Do you need to still use CPT 77057 or can
you change it to 77056 for diagnostiic mammo in these instances?
In a patient with hx of breast ca, should we be coding V76.11 as primary diagnosis?
Any and all help would be appreciated.