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Home/Diagnosis/ICD-10 Coding for Abnormal Mammogram

ICD-10 Coding for Abnormal Mammogram

R92.0
R92.1
R92.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abnormal mammogram includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Mammographic Abnormality
Abnormal Breast Imaging
Abnormal Mammo
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Key Information: ICD-10 Coding for Abnormal Mammogram

Essential facts and insights about ICD-10 Coding for Abnormal Mammogram

Use ICD-10 code R92.0 for mammographic microcalcification found on diagnostic imaging of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Mammographic microcalcification found on diagnostic imaging of breast

Billable Code
R92.0
Billable

Diagnostic Criteria

  • • Presence of microcalcifications on imaging

Applicable To

  • • Cluster of microcalcifications

Important Notes

  • • Ensure documentation specifies 'cluster of microcalcifications' and laterality.

Mammographic calcification found on diagnostic imaging of breast

Billable Code
R92.1
Billable

Diagnostic Criteria

  • • Calcifications confirmed on imaging

Applicable To

  • • Coarse calcifications

Important Notes

  • • Ensure documentation specifies 'coarse calcifications' and laterality.

Inconclusive mammogram

Billable Code
R92.2
Billable

Diagnostic Criteria

  • • BI-RADS 0 or 3 assessment documented

Applicable To

  • • Inconclusive due to dense breast tissue

Important Notes

  • • Ensure documentation specifies the reason for inconclusiveness.

Mammographic density

Non-Billable
R92.3
Non-Billable

Diagnostic Criteria

  • • ACR breast density category (A-D) or quantitative percentage

Applicable To

  • • Dense breast tissue

Important Notes

  • • Ensure documentation specifies the type of density.

Other abnormal and inconclusive findings on diagnostic imaging of breast

Billable Code
R92.8
Billable

Diagnostic Criteria

  • • Description of mass size, shape, margins

Applicable To

  • • Masses
  • • Architectural distortion

Important Notes

  • • Ensure documentation specifies the nature of the abnormal finding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Use if the mammogram was initially for screening purposes.

Frequently Asked Questions

What is the ICD-10 code for an abnormal mammogram?

The ICD-10 code for an abnormal mammogram depends on the specific findings, such as R92.0 for microcalcifications or R92.2 for inconclusive results.

How do you code a screening mammogram with abnormal findings?

For a screening mammogram with abnormal findings, use Z12.31 as the primary code and add the appropriate R92.x code for the specific abnormality.

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