Wiki z12.31 vs z12.39

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B
Code: Z12.31
Encounter for screening mammogram for malignant neoplasm of breast
Excludes 1: inconclusive mammogram (R92.2)
Parent Code Notes: Z12
Excludes1: encounter for diagnostic examination-code to sign or symptom
Use additional code to identify any family history of malignant neoplasm (Z80.-)

Category Notes
Persons encountering health services for examinations (Z00-Z13)
Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
Excludes 1: examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. 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:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

JJOHN0312

Networker
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Can anyone tell me the difference in Z12.31 and Z12.39? I have some dr's office that use Z12.31 only for Medicare patients? Surely, that is not from a denial of some sort?

Thanks,

Josie
 

mitchellde

True Blue
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The Z12.31 is specific to screening mammograms and the Z12.39 is any screening of the breast other than mammograms. It would be incorrect to use Z12.39 with a screening mammogram.
 
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