Certified Professional Coder (CPC) Practice Test 2026 - Free CPC Practice Questions and Study Guide

The correct codes for a patient with a family history of breast cancer who receives a screening mammography involve understanding both the purpose of the screening and the relevance of the family history.

The code for screening mammography in a patient without a prior history of breast cancer is specifically designated for the type of screening performed. The code V76.11 is used for a screening mammography for patients with a personal or family history of breast cancer, indicating the heightened risk due to family history which justifies the screening.

The accompanying code, V16.3, identifies a family history of malignant neoplasm of the breast, which is relevant in this context. This code helps indicate the reason for heightened surveillance due to genetic predisposition.

Together, these codes comprehensively document the situation: the screening being performed and the history that necessitates such an approach. This combination accurately reflects the patient's risk factors and the preventative management being undertaken, aligning with coding guidelines and best practices.