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Home/Diagnosis/ICD-10 Coding for Dense Breasts

ICD-10 Coding for Dense Breasts

R92.30
R92.31
R92.32

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

Also Known as:
Breast Density
Mammographic Density
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Key Information: ICD-10 Coding for Dense Breasts

Essential facts and insights about ICD-10 Coding for Dense Breasts

Use ICD-10 code R92.30 for unspecified abnormal mammogram, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified abnormal mammogram

Billable Code
R92.30
Billable

Diagnostic Criteria

  • • Mammogram report stating 'dense breasts' without BI-RADS classification

Applicable To

  • • Dense breasts without further specification

Important Notes

  • • Ensure documentation specifies the need for further imaging if applicable.

Fatty replaced breasts (BI-RADS A)

Non-Billable
R92.31
Non-Billable

Diagnostic Criteria

  • • BI-RADS A classification in mammogram report

Applicable To

  • • Breasts with ≤25% fibroglandular tissue

Scattered fibroglandular density (BI-RADS B)

Non-Billable
R92.32
Non-Billable

Diagnostic Criteria

  • • BI-RADS B classification in mammogram report

Applicable To

  • • Breasts with 26-50% fibroglandular tissue

Heterogeneously dense (BI-RADS C)

Non-Billable
R92.33
Non-Billable

Diagnostic Criteria

  • • BI-RADS C classification in mammogram report
  • • Laterality specified

Applicable To

  • • Breasts with 51-75% fibroglandular tissue

Important Notes

  • • Ensure documentation includes laterality and BI-RADS classification.

Extremely dense (BI-RADS D)

Non-Billable
R92.34
Non-Billable

Diagnostic Criteria

  • • BI-RADS D classification in mammogram report
  • • Laterality specified

Applicable To

  • • Breasts with >75% fibroglandular tissue

Important Notes

  • • Ensure documentation includes laterality and BI-RADS classification.
Frequently Asked Questions

What is the ICD-10 code for dense breasts?

The ICD-10 code for dense breasts is R92.30 for unspecified density, with specific codes R92.31-R92.34 based on BI-RADS classification.

How do you code heterogeneously dense breasts?

Code heterogeneously dense breasts as R92.33, specifying laterality with a 6th digit.

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