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CPC · Question #85

CPC Question #85: Real Exam Question with Answer & Explanation

The correct answer is C. 77067, Z12.31, Z80.3. The procedure performed is a bilateral screening mammogram with computer-aided detection (CAD). CPT code 77067 is for bilateral screening mammography with CAD. ICD-10-CM code Z12.31 is for an encounter for screening mammogram for malignant neoplasm of the breast. Z80.3 is for a f

Question

View MR 007400 MR 007400 Radiology Report Patient: J. Lowe Date of Service: 06/10/XX Age: 45 MR#: 4589799 Account #: 3216770 Location: ABC Imaging Center Study: Mammogram bilateral screening, all views, producing direct digital image Reason: Screen Bilateral digital mammography with computer-aided detection (CAD) No previous mammograms are available for comparison. Clinical history: The patient has a positive family history (mother and sister) of breast cancer. Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system. Findings: No dominant speculated mass or suspicious area of clustered pleomorphic microcalcifications is apparent Skin and nipples are seen to be normal. The axilla are unremarkable. What CPT® coding is reported for this case?

Options

  • A77067-50, Z80.3, Z12.31
  • B77066, Z80.3, Z12.31
  • C77067, Z12.31, Z80.3
  • D77066-50, Z12.31, Z80.3

Explanation

The procedure performed is a bilateral screening mammogram with computer-aided detection (CAD). CPT code 77067 is for bilateral screening mammography with CAD. ICD-10-CM code Z12.31 is for an encounter for screening mammogram for malignant neoplasm of the breast. Z80.3 is for a family history of malignant neoplasm of the breast. Therefore, the correct coding is 77067, Z12.31, Z80.3.

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