Schedule your annual mammogram for breast cancer screening. This important preventative healthcare measure aids in early detection and diagnosis of breast cancer. Find information on routine mammogram guidelines, medical coding for mammograms, clinical documentation requirements, and the importance of annual breast cancer screening in maintaining your health.
Also known as
Encounter for screening mammogram for malignant neoplasm of breast
Routine screening mammogram for breast cancer.
Encounter for other screening mammogram
Screening mammogram for conditions other than breast cancer.
Abnormal findings on diagnostic imaging of breast
Abnormal results found on a breast imaging test, requiring further investigation.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the mammogram for screening purposes?
Yes
Is there a personal history of breast cancer?
No
Is it for diagnostic workup of a breast problem?
When to use each related code
| Description |
|---|
| Annual breast cancer screening for average-risk women. |
| Diagnostic mammogram to evaluate breast changes or symptoms. |
| Breast ultrasound used to further assess abnormalities detected on mammography. |
Missing laterality (right, left, bilateral) may lead to coding errors and claim denials. Affects reimbursement and quality metrics.
Incorrectly coding a diagnostic mammogram as a screening mammogram can lead to compliance issues and inaccurate data reporting.
If patient is not eligible for screening, Advanced Beneficiary Notice (ABN) modifier is needed. Prevents claim denial for patient responsibility.
Q: What are the current ACR guidelines for annual mammogram screening in average-risk women, and how do they address patient-specific factors like breast density?
A: The American College of Radiology (ACR) recommends annual mammograms starting at age 40 for women at average risk of breast cancer. These guidelines emphasize shared decision-making, acknowledging that patient preferences and individual risk factors, including breast density, should influence screening strategies. For women with dense breasts, supplemental screening with ultrasound or MRI may be considered, as mammography can be less sensitive in these cases. The ACR Appropriateness Criteria provides further guidance on risk assessment and tailoring screening protocols. Explore how S10.AI can help you implement a risk-stratified breast cancer screening program based on the latest ACR guidelines.
Q: How can I effectively communicate the benefits and limitations of annual mammography to patients hesitant due to concerns about false positives or radiation exposure?
A: Addressing patient concerns about false positives and radiation exposure requires clear and empathetic communication. Explain that while false positives can occur, they are a necessary part of early detection and lead to additional evaluation that ultimately provides reassurance. Emphasize the relatively low radiation dose used in modern mammography and its minimal risk compared to the potential benefits of early breast cancer detection. Provide patients with resources like the National Cancer Institute's fact sheets to address radiation concerns. Consider implementing decision aids to help patients weigh the benefits and risks of screening based on their individual circumstances. Learn more about how S10.AI can facilitate patient education and shared decision-making in your practice.
Patient presented for an annual mammogram, also known as a routine mammogram or breast cancer screening, as part of recommended preventative care. The patient reports no current breast complaints, including pain, nipple discharge, or palpable masses. Personal history is negative for breast cancer. Family history is unremarkable for breast cancer in first-degree relatives. The patient denies any known BRCA mutations. Menstrual history is documented. Prior mammogram reports are reviewed and available for comparison. Physical examination of the breasts reveals no abnormalities. Mammogram imaging was performed today and will be interpreted by radiology. Results will be communicated to the patient and documented in the medical record. Recommendations for follow-up or further diagnostic evaluation, such as breast ultrasound or biopsy, will be based on the radiologist's findings. Patient education regarding breast self-examination and the importance of regular mammographic screening was reinforced. ICD-10 code Z12.31 (Encounter for screening mammogram for malignant neoplasm of breast) is appropriate for this visit. CPT codes for the mammogram procedure will be provided by the radiology department and documented accordingly.