Z12.39

Encounter for other screening for malignant neoplasm of breast

Billable / specificPOA exempt

Z12.39 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from Z12)

  • Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
  • Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Excludes1

Not coded here — never report together with this code.

  • encounter for diagnostic examination-code to sign or symptom (from Z12)

Excludes2

Not included here — may be reported together when both conditions exist.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-) (from Z12)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any family history of malignant neoplasm (Z80.-) (from Z12)

Also known as

  • Mammogram
  • Screening, neoplasm, breast

Parent code

  • Z12.3Encounter for screening for malignant neoplasm of breastHeader

Related codes

  • Z12.31Encounter for screening mammogram for malignant neoplasm of breastBillable

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