Z12.3

Non-Billable
ChapterZ00–Z99
Ranksubcategory
Official Description

Encounter for screening for malignant neoplasm of breast

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z00-Z13Persons encountering health services for examinations (Z00-Z13)
Z12Encounter for screening for malignant neoplasms
Z12.3Encounter for screening for malignant neoplasm of breastNot billable
Z12.31Encounter for screening mammogram for malignant neoplasm of breastBillable
Z12.39Encounter for other screening for malignant neoplasm of breastBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z12.3:

categoryZ12
Encounter for screening for malignant neoplasms
View context instructions
blockZ00-Z13
Persons encountering health services for examinations (Z00-Z13)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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