AMA Clinical Examples in Radiology - 2016 Issue 4 (Fall)
Screening Mammogram with Computer-aided Detection (CAD) and Digital Tomosynthesis
CLINICAL EXAMPLE 1 Screening Mammogram with Computer-aided Detection (CAD) and Digital Tomosynthesis INDICATION Screening examination. COMPARISON Screening mammograms going back to August 21, 2007. TECHNIQUE Full-field digital mammographic and tomosynthesis images were obtained and reviewed as part of the examination. The CAD mammography reader was used for this case. FINDINGS The breast tissue density demonstrates scattered areas of fibroglandular density. No suspicious asymmetries, masses, or calcifications are seen in the right breast. In the left breast retroareolar region, there is an indeterminate cluster of microcalcifications. In the medial left breast there is an oval mass with circumscribed margins and...
Subscribe or sign in to view the full article.
Article Overview
This article reviews a screening mammography example in the context of computer-aided detection, digital breast tomosynthesis, and related diagnostic follow-up. It is aimed at coders, billers, and radiology staff who need to understand how the scenario fits within CPT, ICD-10-CM, and related reporting guidance. The discussion covers the transition to newer CPT mammography codes, same-day screening and diagnostic considerations, and associated diagnosis reporting concepts.
Why This Topic Matters
Radiology practices need clear guidance for distinguishing screening from diagnostic mammography and for recognizing when related imaging or diagnosis reporting issues arise. This article helps readers understand the broader documentation and code-set context for a common breast imaging workflow.
Article Sections
-
Clinical Example 1
Introduces a breast imaging example and summarizes the clinical context, imaging findings, and recommended follow-up at a high level.
-
How to Code
Presents the coding context associated with the example, including the relevant procedure and diagnosis reporting framework.
-
Discussion
Explains the broader mammography coding framework, including the CPT and ICD-10-CM context, related organizations, and the kinds of reporting considerations addressed by the article.
What You Will Learn
- How a screening mammography case with CAD and tomosynthesis is discussed in a coding example
- How the article frames screening versus diagnostic mammography at a general level
- What kinds of CPT and ICD-10-CM reporting topics are covered for breast imaging
- How same-day screening and diagnostic workflow considerations are addressed in the article
- Which organizations and guidance sources are referenced in the discussion
Who Should Read This
- Medical coders
- Radiology billers
- Radiology practice staff
- Compliance teams
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
