Certified Professional Coder (CPC) Practice Test

For a bilateral screening mammogram that includes digitization for review, which service and diagnosis codes should be assigned?

1. 77057, 77052, V76.11

2. 77057, 77052, V76.12

3. 77057, V76.12

4. 77052, V76.12

The correct answer is: 77057, 77052, V76.12

The correct answer involves identifying the appropriate procedure and diagnosis codes for a bilateral screening mammogram that includes digitization for review. In this case, the procedure code 77057 specifically refers to a digital bilateral mammography that includes the interpretation and report. Additionally, the inclusion of the code 77052 indicates that the mammogram was a screening type, which is essential for capturing the full scope of the service provided. The diagnosis code V76.12 is appropriate when the reason for the mammogram is for screening for malignant neoplasms of the breast, specifically in a situation where the patient does not have any signs or symptoms warranting further investigation. The condition related to breast screening aligns with the guidelines for screening procedures. In this scenario, the use of V76.12 is crucial because it correctly reflects that the mammogram is being performed as a preventive measure rather than in response to symptoms, which would involve a different diagnostic code. With this understanding, the combination of the digital bilateral mammogram codes along with the appropriate screening diagnosis accurately captures the essence of the medical service provided.