Z12.3
Z12.3 — Encounter for screening for malignant neoplasm of breast
Non-billable headerICD-10-CM
Z12.3 is a non-billable header ICD-10-CM code for encounter for screening for malignant neoplasm of breast. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
Z12.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Z12.3
2 child codes. Green means billable.
Related codes at this level
Codes that share Z12. If Z12.3 is not quite right, the correct code is usually one of these.
- Z12.0Encounter for screening for malignant neoplasm of stomach
- Z12.1Encounter for screening for malignant neoplasm of intestinal tract
- Z12.2Encounter for screening for malignant neoplasm of respiratory organs
- Z12.4Encounter for screening for malignant neoplasm of cervix
- Z12.5Encounter for screening for malignant neoplasm of prostate
- Z12.6Encounter for screening for malignant neoplasm of bladder
- Z12.7Encounter for screening for malignant neoplasm of other genitourinary organs
- Z12.8Encounter for screening for malignant neoplasm of other sites
- Z12.9Encounter for screening for malignant neoplasm, site unspecified
Questions about Z12.3
- Is Z12.3 a billable ICD-10-CM code?
- No. Z12.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z12.3 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services for examinations (Z00-Z13).