Yathink67
Networker
I just received a notice that the diagnosis we used for a routine annual mammogram Z12.31 is not billable under Medicare. What diagnosis code should be used?
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Wiki Medicare Mammogram Diagnosis Z12.31 or Z12.39
mitchellde
True Blue
From where did this notice come?
Yathink67
Networker
The hospital we sent our patient to sent us a notice that the Mammo diagnostic was ordered, not mammo screening and asked that we provide a different code. However both of those codes are for screening, so I am slightly confused. Thank you for any input you may have.
mitchellde
True Blue
Is it possible that they are saying the order they received was for a diagnostic test, yet you provided only a screening diagnosis?
Yathink67
Networker
Yes, they said it was a diagnostic code not screening, so question now is Z12.3? That is the code I sent back to them, so hoping I did this right, thanks for your help