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   What is the ICD 10 cm code for a mammogram?

   • The related ICD-10-CM code is Z12.31 Encounter for screening mammogram for malignant neoplasm of breast. The following diagnostic mammography codes differ based on whether the service is unilateral or bilateral: According to Medicare’s NCD, diagnostic mammography is covered for male or female beneficiaries meeting one or more of these conditions:

   Understand Screening vs. Diagnostic - AAPC Knowledge Center

   www.aapc.com/blog/61415-understand-screening-vs-diagnostic/

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   What is the new ICD 10 cm code for encntr mammogram?

   • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set. Z12.31 is a billable diagnosis code used to specify encntr screen mammogram for malignant neoplasm of breast.

   ICD-10-CM Diagnosis Code Z12.31 - Encounter for screening ... - ICD List

   icdlist.com/icd-10/Z12.31

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   Do I need a CPT code for a mammogram?

   • necessary in addition to 2-dimensional mammography.) An ICD-10-CM diagnosis code(s) should be linked to the appropriate CPT mammography code reported. The proper diagnosis code to report would be Z12.31, Encounter for screening mammogram for malignant neoplasm of breast. The Medicare deductible and co-pay/coinsurance are waived for this service.

   Women's Preventive Services Initiative (WPSI) 2022 Coding Guide

   www.womenspreventivehealth.org/wp-content/uploads/FINAL_WPSI_CodingGuide_2022_BreastCancerScreeningAverageRiskWomen.pdf

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   What is a screening mammogram code?

   • Screening mammogram codes are used when a woman is asymptomatic and is undergoing a routine screening mammogram. These codes are used for screening mammograms that are performed to detect breast cancer in women who have no symptoms or signs of the disease. The codes used for screening mammograms are found in the Z12.3 range in ICD-10.

   Mammogram Coding in ICD-10: A Comprehensive Guide

   freemedicalcoding.com/resources/mammogram-coding-in-icd-10-cm/

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   What does Z12 mean in a mammogram?

   • Excludes1: inconclusive mammogram ( R92.2) Z12 Excludes1: encounter for diagnostic examination-code to sign or symptom Use additional code to identify any family history of malignant neoplasm ( Z80 .-)

   ICD-10 Code for Encounter for screening mammogram for malignant ...

   www.aapc.com/codes/icd-10-codes/Z12.31

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   Can a screening mammography be a diagnostic mammogram?

   • Examples of those diagnoses include codes from the N63 category (unspecified lump in breast) and the N60 category (benign mammary dysplasia), When it is appropriate to report a screening and a diagnostic mammogram on the same day, use modifier -GG to indicate that a screening mammography turned into a diagnostic mammography.

   Women's Preventive Services Initiative (WPSI) 2022 Coding Guide

   www.womenspreventivehealth.org/wp-content/uploads/FINAL_WPSI_CodingGuide_2022_BreastCancerScreeningAverageRiskWomen.pdf

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2. www.icd10data.com › ICD10CM › Codes2025 ICD-10-CM Diagnosis Code Z12.31

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   Z12.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encntr screen mammogram for malignant neoplasm of breast; The 2025 edition of ICD-10-CM Z12.31 became effective on October 1, 2024.

   • Z12.79

     Z12.79 is a billable/specific ICD-10-CM code that can be...

3. www.aapc.com › codes › icd-10-codesICD-10 Code for Encounter for screening mammogram for ... - AAPC

   www.aapc.com › codes › icd-10-codes

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   Get crucial instructions for accurate ICD-10-CM Z12.31 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.

4. icdlist.com › icd-10 › Z122025 ICD-10-CM Diagnosis Code Z12.31 - ICD List

   icdlist.com › icd-10 › Z12

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   Z12.31 is a billable diagnosis code used to specify a medical diagnosis of encounter for screening mammogram for malignant neoplasm of breast. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

5. freemedicalcoding.com › resources › mammogram-codingMammogram Coding in ICD-10: A Comprehensive Guide

   freemedicalcoding.com › resources › mammogram-coding

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   Feb 20, 2023 · In this article, we’ll provide a comprehensive guide to mammogram coding in ICD-10, including the different codes used, when they should be applied, and some common scenarios and challenges you may encounter.

6. www.icd10codeslookup.com › icd10-cm-codes-tabularDiagnosis Code Z12.31 | Encounter for screening mammogram

   www.icd10codeslookup.com › icd10-cm-codes-tabular

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   Encounter for screening mammogram for malignant neoplasm of breast. Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

7. www.womenspreventivehealth.org › wp-contentWomen's Preventive Services Initiative (WPSI) 2022 Coding Guide

   www.womenspreventivehealth.org › wp-content

   An ICD-10-CM diagnosis code(s) should be linked to the appropriate CPT mammography code reported. The proper diagnosis code to report would be Z12.31, Encounter for screening mammogram for malignant neoplasm of breast.

8. icd10coded.com › cm › Z12Z12.31 ICD 10 Code - Encounter for screening mammogram for ...

   icd10coded.com › cm › Z12

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   Oct 1, 2024 · Z12.31 is a valid billable ICD-10 diagnosis code for Encounter for screening mammogram for malignant neoplasm of breast. It is found in the 2025 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025. POA Exempt.