Billable / Specific Code
ICD-10-CM Z12.31 is the diagnosis code for Encounter for screening mammogram for malignant neoplasm of breast. This code falls under the section "Persons encountering health services for examinations" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as Z12.31. They are mutually exclusive:
Understanding where Z12.31 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, Z12.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z12.31 is the ICD-10-CM diagnosis code for "Encounter for screening mammogram for malignant neoplasm of breast". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of Z12.31 is Z12.3 ("Encounter for screening for malignant neoplasm of breast"). Z12.31 provides a more specific classification within this category.
Z12.31 is located in Section Z00-Z13 — "Persons encountering health services for examinations" within Chapter 21 of the ICD-10-CM Tabular List.
Use Z12.31 when the patients documented diagnosis matches "Encounter for screening mammogram for malignant neoplasm of breast" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Encounter for screening mammogram for malignant neoplasm of breast is Z12.31.
Yes, Z12.31 can be used as a primary diagnosis code since it is billable and specific.
Z12.31 is in Chapter 21 of the ICD-10-CM Tabular List.
Type 1 Excludes for Z12.31 include: inconclusive mammogram (R92.2).
Yes, Z12.31 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.