CPT code 77065 refers to a type of breast exam that uses x-rays to look at one breast for any unusual changes. CPT 77065 represents “Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral.”
Procedure Explanation:
This procedure, known as a diagnostic mammography, is performed when there’s a need to closely examine one of your breasts because of a specific concern, like a lump or unusual pain. The procedure may also utilize a technology called computer-aided detection (CAD), which helps in analyzing the images more thoroughly to spot any anomalies. It’s important to note that this procedure specifically relates to a detailed examination of only one breast, not both.
Common Names:
- Diagnostic Mammogram
- One-Sided Mammography
- Unilateral Breast X-ray
Relative Value Units (RVU):
The RVUs associated with this code are 0.81.
How This Procedure Appears:
- Operating Room Schedule Name: One-Sided Diagnostic Mammogram
- Surgical Consent Form Name: Unilateral Diagnostic Breast X-ray
Typical Patients and Diagnoses:
This procedure is mostly done for patients who have been found to have some signs that require closer inspection in a single breast, such as a lump detected during a routine check-up, breast pain on one side, or other unusual changes like discharge. It helps doctors gather more information and is the next step after a screening mammogram shows an area that needs a closer look.
Associated ICD-10 Codes:
- N63: A code used when there’s a lump in the breast not yet diagnosed as a specific condition.
- N64.4: This code pertains to breast pain, which may prompt a closer examination.
- N60.09: This code represents benign cysts in the breast, which might also require diagnostic attention.
Summary
In summary, code 77065 describes a diagnostic mammogram for examining one breast in detail. Typical ICD-10 codes associated with 77065 include N63 (undetermined lump) and N64.4 (breast pain).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.