A 45-year-old female patient presents for a screening mammogram. Upon examination, the screening test shows evidence of a calcification in the left breast. How would the coder appropriately assign diagnosis codes for this service?

Question

Quizplus · Accepted Answer

The correct approach is to first list the code for the screening mammogram because the primary reason for the encounter is screening. If a finding such as a breast mass or calcification is discovered during the screening, it is coded next to provide additional information about the findings of the screening.

A 45-Year-Old Female Patient Presents for a Screening Mammogram