Results 1 to 5 of 5

Diagnostic Vs. Screening Mammography

  1. #1
    Default Diagnostic Vs. Screening Mammography
    Medical Coding Books
    I am in an argument at work. If a patient with a history of breast cancer, but does not have current symptoms or problems, comes in for their yearly mammogram, how would you code it? Would you use 77057 for the screening or would you use the 77055 or 77056 depending on if they have had a mastectomy? Any help would be greatly appreciated.

  2. Default
    I use 77057 with diagnosis of V76.11, if she isn't coming in with any symptoms or to follow up on the breat cancer. Hope this helps!

  3. #3
    Default
    What do you use for the procedure code if they have had a mastectomy? The code 77057 states that it is a bilateral proceure, with 2 views of each breast.

  4. #4
    Default
    How is the exam being ordered by the referring physician? It is my understanding that the radiologist is under an obligation to perform the exam based on what the referring has ordered. Some doctors considered a pt who has had breast cancer to always and forever have breast cancer, others will allow them to go back to screening mammos after a couple of years with no recurrences. Hope this helps!

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Quote Originally Posted by screed@cntllp.com View Post
    What do you use for the procedure code if they have had a mastectomy? The code 77057 states that it is a bilateral proceure, with 2 views of each breast.
    We append modifier -52.
    Lisa Bledsoe, CPC, CPMA

Similar Threads

  1. Diagnostic revert to Screening Mammography
    By caroline in forum Interventional Radiology
    Replies: 1
    Last Post: 01-30-2012, 10:46 AM
  2. Screening vs Diagnostic Mammography
    By caroline in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-21-2010, 12:57 PM
  3. Screening vs Diagnostic mammography
    By caroline in forum General Surgery
    Replies: 0
    Last Post: 04-20-2010, 10:53 AM
  4. Abnormal Screening Mammography
    By Partha in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-24-2009, 08:00 AM
  5. Screening Mammography followed by Additional Diagnostic Views
    By Partha in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 11-06-2008, 01:49 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.