CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

Z12.31 Quick jump to specific ICD-10 (CM) Code: Z12.4


See Category: Factors influencing health status and contact with health services

See Header: Encounter for screening for malignant neoplasm of breast

ICD-10 (CM) Code and Descriptor

Z12.39 Encounter for other screening for malignant neoplasm of breast
  • This code is considered unacceptable as a principal diagnosis.
  • Z1239 utilizaton on OPPS claims.*

    Primary
    ICD10 Code
    ICD10
    Position 2
    ICD10
    Position 3
    ICD10
    Position 4
    ICD10
    Position 5
    ICD10
    Position 6
    ICD10
    Position 7
    ICD10
    Position 8
    ICD10
    Position 9
    ICD10
    Position 10
    20.20% 32.54% 13.26% 8.83% 6.52% 4.99% 3.93% 2.83% 2.19% 1.54%

    * Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

    Commonly Associated Procedure Codes for Z12.39*:

    CPT
    Description Number of Claims Sum Performed
    76641
    ULTRASOUND BREAST COMPLETE 8,666 8,805
    77067
    SCR MAMMO BI INCL CAD 6,854 6,854
    G0463
    HOSPITAL OUTPT CLINIC VISIT 5,773 5,787
    77063
    BREAST TOMOSYNTHESIS BI 5,522 5,522
    C8908
    MRI W/O FOL W/CONT, BREAST, 3,972 3,972
    G0279
    TOMOSYNTHESIS, MAMMO 2,781 2,781
    G0467
    FQHC VISIT, ESTAB PT 2,514 2,514
    77066
    DX MAMMO INCL CAD BI 2,209 2,209
    99213
    OFFICE O/P EST LOW 20 MIN 1,997 1,997
    A9585
    GADOBUTROL INJECTION 1,842 121,486
    36415
    COLL VENOUS BLD VENIPUNCTURE 1,757 1,759
    76642
    ULTRASOUND BREAST LIMITED 1,443 1,459
    80053
    COMPREHEN METABOLIC PANEL 1,373 1,373
    77065
    DX MAMMO INCL CAD UNI 1,334 1,335
    99214
    OFFICE O/P EST MOD 30 MIN 1,112 1,112
    77080
    DXA BONE DENSITY AXIAL 1,106 1,106
    80061
    LIPID PANEL 1,088 1,088
    85025
    COMPLETE CBC W/AUTO DIFF WBC 1,054 1,054
    C8937
    CAD BREAST MRI 973 974
    A9575
    INJ GADOTERATE MEGLUMI 0.1ML 966 120,232

    * Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



    Z12.39 related to the following DRG Codes:

    951






    CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.