AAPC Certified Professional Coder (CPC) — Question 140
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?
Answer options
- A. 77067-50, Z80.3, Z12.31
- B. 77066, Z80.3, Z12.31
- C. 77067, Z12.31, Z80.3
- D. 77066-50, Z12.31, Z80.3
Correct answer: C
Explanation
The correct coding for the bilateral screening mammogram with CAD assistance is 77067, which is specifically used for this type of procedure. Options A and D include the modifier '-50', which is not applicable as the procedure is not billed bilaterally. Option B uses 77066, which is for a different type of mammogram that does not include CAD.