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Thread: Clinic breast exam DX code

  1. #1
    Join Date
    Apr 2007

    Default Clinic breast exam DX code

    AAPC: Back to School
    Hi everyone,

    I work for the Hospital. In Medical Primary Care clinic there are few Nurse practioners perform papsmear and Breast exam . They code papsmear (V76.2) only. Is it Ok to code (ICD 9 Dx) screening breast along with papsmear codes?

    As per the NP V76.10 (Screening breast ) is OK to bill when the patient goes to Mammogram appointment. Not for the regular clinic.

    Please verify


  2. #2
    Join Date
    Apr 2007
    Columbus GA


    Looks like V76.10 is for any type of breast screening exam.

  3. #3
    Join Date
    Apr 2007
    Carmel, New York

    Default Screening codes

    If you have the documentation that the mammo is for screening, it is more accuarate (and required by MCR) to use the more specific codes of V76.11 or V76.12. We use the latter, espcially as our docs will often use words like "regular", "annual", "cancer" and other descriptors.

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