Location: Imaging center; radiologist employed.(Radiologist is employed by the imaging center: the imaging center should report the global component.)

STUDY: MAMMOGRAM BILATERAL SCREENING,(Screening bilateral mammogram.) all VIEWS, PRODUCING DIRECT DIGITAL IMAGE

REASON: SCREEN

BILATERAL DIGITAL MAMMOGRAPHY WITH COMPUTER-AIDED DETECTION (CAD) (Use of CAD.)

No previous mammograms are available for comparison.

CLINICAL HISTORY: The patient has a positive family history of breast cancer.(Family history of breast CA.)

Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system.

FINDINGS: Residual fibroglandular breast parenchymal tissue is identified bilaterally. No dominant spiculated mass or suspicious area of clustered pleomorphic microcalcifications are apparent. Skin and nipples are seen to be normal. The axilla is unremarkable.

IMPRESSION: BI-RADS 1—Negative (Negative screening.)

What are the CPT® and ICD-10-CM codes reported for this service?