Wiki Screening vs diagnostic mammogram

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jdoneske

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Scenario - Pt calls her PCP and states she feels a lump in her breast. She has never had a mammogram. The pt is sent directly to x-ray without examination by her PCP for a mammogram. Should this mammogram be done as screening, screening changed to diagnostic if necessary or diagnostic?
 
This should be diagnostic because there is a palpable lump (611.72)

It does not matter how many or if no mamograms have ever been done
 
But doesn't it matter that she was not examined by a doctor and that it was only the patient's opinion that she had a lump?
 
as long as her pcp sent a rx for the dx is does not matter that she did not see him, she is symptomatic which makes the mammo a diagnostic.
 
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