AHA Coding Clinic® for ICD-9 - 2006 Issue 2; Ask the Editor

Screening Mammography and Fibrocystic Disease

The physicians at our facilities order routine screening mammographies for patients with known fibrocystic disease of the breasts. Per Coding Clinic Second Quarter 2003, page 3, “screening is the testing for disease or disease precursors in seemingly well individuals so that early detection and treatment can be provided for those who test positive for the disease. When a diagnostic test is ordered in the absence of signs, symptoms, or other evidence of illness or injury (e.g., screening), the principal or first-listed diagnosis should be the reason for the test.” Based on this guideline, it seems that code V76.12 would not be used since fibrocystic breast disease is documented. What should be the first-listed code for a screening mammography on patients with fibrocystic disease of the breast? ...

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