Mammogram assessment category of negative, documented (RAD)
CPT4 code
Name of the Procedure:
Mammogram Assessment (Negative)
Summary
A mammogram is an X-ray imaging procedure used to examine the breast for early detection of cancer and other breast diseases. A "negative" assessment means that no signs of cancer were found.
Purpose
The primary purpose of a mammogram is to detect breast cancer at an early stage when it is most treatable. It also helps in assessing breast tissue health and monitoring any changes over time.
Indications
- Routine breast cancer screening, especially for women above the age of 40.
- Investigating breast symptoms such as lumps, pain, or abnormal nipple discharge.
- Monitoring patients with a history of breast cancer or a family history of the disease.
Preparation
- Avoid using deodorants, perfumes, or lotions under your arms or on your breasts on the day of the exam, as these can interfere with the results.
- Inform the technician if you are pregnant or breastfeeding.
- Wear a two-piece outfit for convenience during the procedure.
Procedure Description
- The patient is positioned standing or sitting in front of a specialized mammography machine.
- One breast is placed on a flat surface and gently compressed with a paddle to flatten the tissue for a clear image.
- X-rays are taken from different angles.
- The process is repeated for the other breast.
- The images are reviewed by a radiologist for any abnormalities.
Duration
The entire mammogram procedure typically takes about 20-30 minutes.
Setting
Performed in a hospital radiology department, an outpatient imaging center, or a specialized mammography clinic.
Personnel
- Radiologic Technologist: Conducts the mammogram.
- Radiologist: Interprets the X-ray images.
Risks and Complications
- Exposure to a low level of radiation.
- Temporary discomfort or pain due to breast compression.
- Rarely, false-positive or false-negative results could occur.
Benefits
- Early detection of breast cancer increases treatment success.
- Monitors changes in breast tissue health.
- Provides peace of mind when results are negative.
Recovery
- No recovery time needed; patients can resume normal activities immediately.
- Follow-up appointments or further testing may be necessary if abnormalities are found in future screenings.
Alternatives
- Breast Ultrasound: Uses sound waves to create images, useful for examining dense breast tissue.
- MRI: Provides detailed images using magnets and radio waves, often used for high-risk patients.
Patient Experience
- Patients might feel brief discomfort due to breast compression, but it is typically tolerable.
- Pain management and comfort measures include using a warm compress or taking over-the-counter pain relief if necessary after the procedure.
In conclusion, a negative mammogram assessment is a reassuring result indicating no abnormalities were found, helping to maintain breast health and peace of mind.