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Thread: screening or diagnostic

  1. #1

    Default screening or diagnostic

    AAPC: Back to School
    I have an order for mammogram
    Dx given is. Screening, breast pain

    Do I code this as screening primary and breast pain secondary or just do the breast pain?
    I do diagnostic coding and we at having the debate that the doctor order a screening so it is a screening even tho he also has a complaint of breast pain listed. I thought that if there is a complaint that it is considered a diagnostic test not a screening

    Can someone help me with this and maybe point me in the direction to finding the guidelines ?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    If the patient is symptomatic then it can not be screening. The testing of an individual to investigate symptoms or confirm a diagnosis is the definition of a diagnositic test.

    Debra A. Mitchell, MSPH, CPC-H

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