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ICD-10 Guide
ICD-10 CodesR92.32

R92.32

Mammographic fibroglandular density of breast

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R92.32 is a billable code used to indicate a diagnosis of mammographic fibroglandular density of breast.

Key Diagnostic Point:

Mammographic fibroglandular density refers to the composition of breast tissue as seen on a mammogram, where dense fibroglandular tissue appears white on the imaging, potentially obscuring lesions. High fibroglandular density is associated with an increased risk of breast cancer, making it a significant finding in breast imaging. This density can vary among individuals and is influenced by factors such as age, hormonal status, and genetic predisposition. Clinically, patients may not present with specific symptoms related to fibroglandular density; however, it is often identified incidentally during routine mammography screenings. The assessment of breast density is crucial for determining the appropriate screening strategies and follow-up imaging, as dense breasts may require additional imaging modalities, such as ultrasound or MRI, to ensure comprehensive evaluation. Understanding the implications of fibroglandular density is essential for both patient management and risk assessment in breast cancer screening protocols.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in breast density among patients
  • Need for correlation with imaging findings
  • Potential for increased breast cancer risk
  • Documentation of prior imaging studies

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to note prior mammographic comparisons
  • Misinterpretation of density as a pathological finding
  • Lack of follow-up recommendations in documentation

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the patient's history, risk factors for breast cancer, and any previous imaging results. Clear notes on the assessment of breast density and recommendations for follow-up imaging are essential.

Common Clinical Scenarios

Routine screening mammograms where fibroglandular density is noted, and patients with a family history of breast cancer.

Billing Considerations

Consideration of the patient's age and hormonal status is important, as these factors influence breast density.

Emergency Medicine

Documentation Requirements

Documentation must include the reason for imaging, any acute symptoms, and findings related to breast density. If the patient presents with breast pain or other symptoms, these should be clearly documented.

Common Clinical Scenarios

Patients presenting with breast pain or palpable masses requiring urgent imaging.

Billing Considerations

Emergency settings may require rapid assessment and clear communication of findings to ensure appropriate follow-up.

Coding Guidelines

Inclusion Criteria

Use R92.32 When
  • According to ICD
  • 10 guidelines, R92
  • 32 should be used when mammographic findings indicate fibroglandular density without associated malignancy or other specific breast conditions
  • It is important to ensure that the diagnosis is supported by imaging reports

Exclusion Criteria

Do NOT use R92.32 When
No specific exclusions found.

Related CPT Codes

77067CPT Code

Digital mammography, bilateral

Clinical Scenario

Used when performing a mammogram that reveals fibroglandular density.

Documentation Requirements

Documentation of the mammogram results and any recommendations for follow-up imaging.

Specialty Considerations

Radiology specialists should ensure clear communication of findings to referring providers.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of breast findings, including fibroglandular density, which aids in better tracking and management of breast cancer risk.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of breast findings, including fibroglandular density, which aids in better tracking and management of breast cancer risk.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of breast findings, including fibroglandular density, which aids in better tracking and management of breast cancer risk.

Resources

Clinical References

  • •
    American College of Radiology - Breast Imaging

Coding & Billing References

  • •
    American College of Radiology - Breast Imaging

Frequently Asked Questions

What does mammographic fibroglandular density indicate?

It indicates the composition of breast tissue, which can affect the visibility of lesions on mammograms and is associated with an increased risk of breast cancer.