Icd Code For Bilateral Diagnostic Mammogram

Icd 10 cm diagnosis code r92 2 convert to icd 9 cm inconclusive mammogram. Proper reporting of icd 9 cm codes informs the insurance company the service was for screening mammography. The 2020 edition of icd 10 cm z12 31 became effective on october 1 2019.

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The code is valid for the year 2020 for the submission of hipaa covered transactions.

Icd code for bilateral diagnostic mammogram. Effective january 1 2015 hcpcs code 77063 screening digital breast tomosynthesis bilateral list separately in addition to code for primary procedure must be billed in conjunction with the screening mammography hcpcs code g0202 screening mammography producing direct digital image bilateral all views 2d imaging only. 77051 tos 4 77052 tos 1 77055 tos 4 77056 tos 4 77057 tos 1. Icd 10 cm diagnosis code r92 1. The code is exempt from present on admission poa reporting for inpatient admissions to general acute care hospitals.

If incorrectly billed the claim may be processed and paid at a lesser value. Encntr screen mammogram for malignant neoplasm of breast. That amount is 150 percent of the locality specific amount paid under the physician fee schedule for the technical component tc of procedure code 76091 the code for a bilateral diagnostic mammogram twenty percent of the lower of charge or 150 percent of mpfs. Cpt code 77055 for medicare refer to g0206 describes a diagnostic mammogram for a unilateral study.

Bilateral g0202 screening mammography producing direct digital image bilateral all views contractors shall use the following type of service tos for the new codes. Mammographic calculus found on diagnostic imaging of breast. Screening mammography is considered bilateral so do not report the code with modifier 50 or rt lt. 77063 screening digital breast tomosynthesis bilateral list separately in addition to code for primary procedure 77065 diagnostic mammography including computer aided detection cad when performed.

Icd 9 cm codes for screening mammography. Z12 31 is a billable code used to specify a medical diagnosis of encounter for screening mammogram for malignant neoplasm of breast. For reporting mammograms in 2019 use these cpt codes. Mammographic calcification found on diagnostic imaging of breast.

2016 2017 2018 2019 2020 billable specific code. While code 77056 for medicare refer to g0204 is used for a bilateral study. Since the codes don t specify the number of views use one code along with one billing unit to report your services regardless of the number of views taken. Z12 31 is a billable specific icd 10 cm code that can be used to indicate a diagnosis for reimbursement purposes.

Diagnostic mammography cpt 77051 77052 77055 g0202 77051 computer aided detection computer algorithm analysis of digital image data for lesion detection 77056 mammogram.