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Home/Diagnosis/ICD-10 Coding for Dense Breast Tissue

ICD-10 Coding for Dense Breast Tissue

R92.30
R92.31

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

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

Essential facts and insights about ICD-10 Coding for Dense Breast Tissue

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

documentation_criteria:
  • • Presence of dense breast tissue without specific BI-RADS category
applicable_to:
  • • Dense breast tissue, unspecified
excludes:
  • • Inconclusive mammogram (R92.2)
validation:
  • • Mammogram report indicating dense breast tissue without specific BI-RADS category
notes:
  • • Ensure documentation specifies the BI-RADS category if available.
risks:
  • • May lead to under-documentation if specific density is not recorded.

Mammographic microcalcification found on diagnostic imaging of breast

Non-Billable
R92.31
Non-Billable

Diagnostic Criteria

applicable_to:
  • • Heterogeneously dense breast tissue
excludes:
  • • Inconclusive mammogram (R92.2)
validation:
  • • Mammogram report indicating heterogeneously dense tissue (BI-RADS C)
notes:
  • • Ensure BI-RADS category is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Use for routine screening mammograms.

Frequently Asked Questions

What is the ICD-10 code for dense breast tissue?

The ICD-10 code for dense breast tissue is R92.3x, which includes specific codes based on BI-RADS categories.

When should R92.2 be used for dense breast tissue?

R92.2 should be used when a mammogram is inconclusive due to dense breast tissue, not just for density alone.

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