How To Use CPT Code 3014F

CPT 3014F describes the documentation and review of screening mammography results by a healthcare provider. This article will cover the description, official guidelines, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 3014F?

CPT 3014F is used to document and review the results of screening mammography. This code is specifically for asymptomatic women aged 40 years or older who undergo the procedure to detect early signs of breast cancer. Unlike diagnostic mammographies, screening mammography does not require any signs, symptoms, or history of breast disease. The provider interprets the results of the mammogram and documents their findings.

2. Official Description

The official description of CPT code 3014F is: ‘Screening mammography results documented and reviewed (PV).’ PV stands for Physician Visit, indicating that the provider evaluates the mammogram results during a patient visit.

3. Procedure

  1. During a screening mammography, the provider uses X-rays to inspect the breasts for any abnormal masses or tumors, such as adenomas or neoplasms.
  2. The provider evaluates the mammogram results and documents their findings, including the presence of any adenomas or neoplasms.
  3. The date of the screening mammography is also documented in the patient’s healthcare record.

4. Qualifying circumstances

CPT 3014F is applicable to asymptomatic women aged 40 years or older who undergo screening mammography. Medicare policies cover this service for eligible beneficiaries. The purpose of screening mammography is to detect early signs of breast cancer, including adenomas and neoplasms. The provider must document the presence of these abnormalities and the date of the test in the patient’s healthcare record.

5. When to use CPT code 3014F

CPT code 3014F should be used when a healthcare provider documents and reviews the results of screening mammography for an asymptomatic woman aged 40 years or older. It is important to note that this code is not appropriate for diagnostic mammography or for patients who have signs, symptoms, or a history of breast disease.

6. Documentation requirements

To support a claim for CPT code 3014F, the healthcare provider must document the following information:

  • The presence of adenomas or neoplasms detected during the screening mammography
  • The date of the screening mammography
  • The provider’s interpretation of the mammogram results
  • Any additional relevant findings or observations

7. Billing guidelines

When billing for CPT code 3014F, ensure that the provider has documented and reviewed the results of screening mammography for an asymptomatic woman aged 40 years or older. This code should not be reported with other codes related to diagnostic mammography or breast disease. It is important to follow the specific guidelines and policies of the payer when submitting claims for this code.

8. Historical information

CPT code 3014F was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates or changes to this code since its addition.

9. Examples

  1. A healthcare provider documents and reviews the results of screening mammography for an asymptomatic woman aged 45 years.
  2. During a routine check-up, a provider evaluates the mammogram results of a 50-year-old woman who underwent screening mammography.
  3. A physician reviews the findings of screening mammography for a 55-year-old woman and documents any abnormalities detected.
  4. A healthcare provider documents and reviews the results of screening mammography for a 60-year-old woman as part of her preventive care.
  5. During a routine physical examination, a provider interprets the mammogram results of a 42-year-old woman who underwent screening mammography.
  6. A physician reviews the mammogram results of a 47-year-old woman and documents any abnormalities found during the screening.
  7. A healthcare provider documents and reviews the results of screening mammography for a 52-year-old woman as part of her regular breast cancer screening.
  8. During a preventive care visit, a provider evaluates the mammogram results of a 44-year-old woman who underwent screening mammography.
  9. A physician reviews the findings of screening mammography for a 58-year-old woman and documents any abnormalities detected.
  10. A healthcare provider documents and reviews the results of screening mammography for a 65-year-old woman during her annual check-up.

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