Complete ICD-10-CM coding and documentation guide for icd-10 coding for focal asymmetry of left and right breast includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Focal Asymmetry of Left and Right Breast
Use ICD-10 code R92.8 for other abnormal and inconclusive findings on diagnostic imaging of breast, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Tomosynthesis, unilateral
Use when digital breast tomosynthesis is performed to evaluate the asymmetry.
The ICD-10 code for focal asymmetry of the breast is R92.8, used for abnormal findings on breast imaging without confirmed pathology.
Focal asymmetry should be documented with specific location, size, and comparison to prior imaging, along with BI-RADS classification.