Screening vs. Diagnostic MammographyDATTA (July 1996)

July 1996 page 6 Coding Communication Screening vs. Diagnostic Mammography DATTA Coding mammography procedures can sometimes prove difficult. To make a proper determination, you must carefully consider the code descriptors and similarities that exist, as well as the intended use of the codes and the potential problems. The Codes in Question 76090 Mammography; unilateral 76091 Mammography; bilateral 76092 Screening mammography, bilateral (two view film study of each breast) Review of 76092 Screening mammography (coded 76092 ) is usually limited to two images, craniocaudal and mediolateral oblique views. It is performed to detect unsuspected cancer in an early stage in...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains how a 1996 coding discussion distinguishes screening from diagnostic mammography in the context of CPT procedure coding and associated ICD-9-CM diagnosis coding. It is useful for coders, radiology staff, compliance teams, and billing personnel who need to understand the broad documentation and classification issues discussed in the article, along with references to professional practice parameters and Medicare-related policy updates.

Why This Topic Matters

Mammography coding is an area where procedure intent, imaging scope, and diagnosis reporting can affect how a service is categorized and documented. This article helps readers orient themselves to the coding distinctions and supporting reference materials discussed in the source.

Article Sections

  1. Coding Communication

    Introduces the coding topic and explains why mammography procedures can be difficult to classify. The section frames the discussion around code descriptors, intended use, and related documentation considerations.

  2. The Codes in Question

    Identifies the CPT codes addressed in the article and sets up the comparison between screening and diagnostic mammography. This section serves as the starting point for the broader discussion.

  3. Review of 76092

    Reviews the screening mammography concept and describes the general circumstances discussed for that service. The section also notes how supplemental views are treated in the article context.

  4. Review of 76090 and 76091

    Reviews the diagnostic mammography concepts and discusses the broader service characteristics presented in the article. The section addresses documentation and supervision themes in general terms.

  5. The Difference Is in the Descriptor

    Explains that the article distinguishes the procedures by their code language and intended purpose. The section emphasizes the role of descriptor wording in the comparison.

  6. Other References

    Lists external references and practice-parameter sources cited by the article. It also notes a Medicare-related Federal Register reference and the general purpose of these materials.

  7. ICD-9 Codes

    Summarizes the diagnosis coding context associated with screening and diagnostic mammography. The section provides the article's broader ICD-9-CM reference list and notes that it is not exhaustive.

What You Will Learn

  • How the article frames screening versus diagnostic mammography coding
  • Which CPT procedure codes are discussed in the comparison
  • How the article relates mammography coding to ICD-9-CM diagnosis reporting
  • What kinds of external references and practice parameters are cited
  • Why documentation considerations are part of the coding discussion

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Compliance professionals
  • Physician office staff
  • Revenue cycle teams

Codes Discussed


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