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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?
Suggested Answer: C
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24 comments · newest first
CA
Cammy
10 months ago
Family history is a big deal, hope everything's okay!
LY
Lynelle
11 months ago
I disagree, I lean towards option D.
RO
Rosann
11 months ago
Wait, no previous mammograms for comparison? That's unusual.
AS
Ashlyn
11 months ago
I think it's definitely option A!
CA
Carey
11 months ago
Looks like a standard bilateral mammogram.
RI
Rikki
12 months ago
I’m leaning towards option C because I remember Z12.31 is for screening mammograms, but I’m not confident about the coding for the procedure itself.
JU
Judy
12 months ago
I feel like we had a practice question similar to this, and I chose 77066 then. But now, I’m confused about whether it should be bilateral or not.
JU
Juliana
12 months ago
I think the "-50" modifier is for bilateral procedures, so maybe it’s option A or D? I just can’t recall if 77067 is the right code for this specific mammogram type.
YO
Yoko
1 year ago
I remember we discussed the difference between 77066 and 77067 in class, but I'm not sure which one applies here since it's a bilateral screening.
SK
Skye
1 year ago
This is a tricky one. There are a few different factors to consider, like the family history and the lack of previous mammograms. I'll need to double-check the coding guidelines to make sure I choose the most appropriate codes.
EM
Emily
1 year ago
Okay, I think I've got this. Based on the details provided, including the bilateral screening and use of computer-aided detection, I'm leaning towards option C as the correct CPT coding for this case.
SH
Shawn
1 year ago
Hmm, I'm a little unsure about this one. The report mentions bilateral screening mammogram, but it's not clear to me which specific CPT code would apply. I may need to review my coding references to make sure I select the right option.
MI
Micah
1 year ago
This looks like a pretty straightforward coding question. I'll start by carefully reviewing the details in the radiology report to identify the key information needed to determine the correct CPT code.
LU
Lucina
1 year ago
Hmm, I'm a bit unsure about this one. I'm not super familiar with VPC Service Controls and Access Context Manager. Maybe I should review those features before deciding.
CA
Catina
1 year ago
I'd break this down systematically - the error code 403 explicitly suggests the user lacks proper access rights. That screams 'Permission issue' to me.
MA
Marget
1 year ago
I guess we should focus on application performance as well—that's what makes me lean towards option C, but I still feel unsure about my choice.
AR
Armanda
2 years ago
That makes sense. So the correct answer is indeed C) 77067, Z12.31, Z80.3
AI
Aileen
2 years ago
Well, I remember studying that when a mammogram is performed for screening purposes, the correct CPT code is 77067. And the patient's family history of breast cancer indicates the use of Z12.31 code for screening for malignant neoplasm.
WA
Wade
2 years ago
But why do you think that? What is your rationale?
AI
Aileen
2 years ago
Actually, I believe the answer is A) 77067-50, Z80.3, Z12.31
AR
Armanda
2 years ago
I agree with you. The correct CPT coding for this case should be C) 77067, Z12.31, Z80.3
WA
Wade
2 years ago
I think the answer is C) 77067, Z12.31, Z80.3
DO
Dorothy
2 years ago
C) 77067, Z12.31, Z80.3
JA
Janine
2 years ago
What CPT coding is reported for this case?