ICD-9 Code V76.11

Screening mammogram for high-risk patient

Not Valid for Submission

V76.11 is a legacy non-billable code used to specify a medical diagnosis of screening mammogram for high-risk patient. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: V76.11
Short Description:Screen mammogram hi risk
Long Description:Screening mammogram for high-risk patient

Convert V76.11 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • Z12.31 - Encntr screen mammogram for malignant neoplasm of breast

Code Classification

  • Supplementary classification of factors influencing health status and contact with health services (E)
    • Persons without reported diagnosis encountered during examination and investigation of individuals and populations (V70-V82)
      • V76 Special screening for malignant neoplasms

Information for Medical Professionals

Index to Diseases and Injuries

References found for the code V76.11 in the Index of Diseases and Injuries:


Information for Patients


Mammography

What is a mammogram?

A mammogram is an x-ray picture of the breast. Health care providers use mammograms to look for early signs of breast cancer. There are two types of mammograms: screening mammograms and diagnostic mammograms.

What is a screening mammogram?

A screening mammogram is a mammogram usually done for women who have no signs or symptoms of breast cancer. Regular screening mammograms can help reduce the number of deaths from breast cancer among women ages 40 to 74. This is because they can find breast cancer early and treatment can start earlier, maybe before it has spread.

But screening mammograms can also have risks. They can sometimes find something that looks abnormal but isn't cancer. This leads to further testing and can cause you anxiety. Sometimes mammograms can miss cancer when it is there. It also exposes you to radiation. You should talk to your provider about the benefits and drawbacks of mammograms. Together, you can decide when to start and how often to have a mammogram.

Not much is known about breast cancer risk in transgender people. If you are transgender, talk to your provider about your risk and whether you need screening mammograms.

What is a diagnostic mammogram?

A diagnostic mammogram is done for people who have a lump or other signs or symptoms of breast cancer. The signs can include breast pain, thickening of the skin of the breast, nipple discharge, or a change in breast size or shape. But these signs can also be caused by a breast condition that is benign (not cancer). A mammogram, along with other tests, can help your provider figure out whether you have cancer.

How is a mammogram done?

When you have a mammogram, you stand in front of an x-ray machine. The person who takes the x-rays places your breast between two plastic plates. The plates press your breast and make it flat. This may be uncomfortable, but it helps get a clear picture.

You will get both breasts x-rayed from the front and from the side. Afterwards, a radiologist (a doctor with special training) will read the mammogram. The doctor will look at the x-ray for early signs of breast cancer or other problems. You will usually get the results within a few weeks, although it depends on the clinic or medical office that you went to. If your results are not normal, you should hear back earlier. Contact your provider or the office where you had the mammogram if you do not receive a report of your results within 30 days.

What happens if my mammogram is not normal?

An abnormal (not normal) mammogram does not always mean that there is cancer. You will need to have additional mammograms, tests, or exams before your provider can tell for sure. You may also be referred to a breast specialist or a surgeon. But it does not necessarily mean you have cancer or need surgery. You would see one of these doctors because they are experts in diagnosing breast problems.


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ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.