Mammogram Screening ICD-10-CM Codes

What ICD-10 Codes are Used for Mammogram Screening

A mammogram is an X-ray of the breast utilized primarily for screening purposes to detect early signs of breast cancer. The ICD-10-CM system has specific codes to categorize mammogram screenings and the reasons behind them.

Here are the pertinent ICD-10-CM codes for mammogram screenings:

• Z12.31: Encounter for screening mammogram for malignant neoplasm of the breast - This code is used when the primary reason for the mammogram is routine screening for breast cancer.
• Z85.3: Personal history of malignant neoplasm of the breast - Indicates that a patient has had breast cancer in the past, and this history can be a reason for ongoing monitoring with mammograms.
• Z80.3: Family history of malignant neoplasm of the breast - Indicates a family history of breast cancer, a potential risk factor leading to more frequent or earlier screenings.

Which Mammogram Screening ICD Codes are Billable:

• Z12.31: Yes
• Z85.3: Yes
• Z80.3: Yes

Clinical Information

• Mammogram screenings are vital in detecting breast cancer in its early stages when it is most treatable.
• Women aged 50-74 are generally advised to have a mammogram every two years, though starting age and frequency can vary based on risk factors.
• Mammograms can occasionally lead to false positives, which may require additional testing.
• Besides screening, diagnostic mammograms are also done to investigate specific breast problems.
• Digital and 3D mammograms are newer methods offering more detailed images, aiding in clearer diagnoses.

Synonyms Include

• Breast X-ray
• Breast radiography
• Breast cancer screening
• Digital mammography
• Tomosynthesis