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ICD-10 Guide
ICD-10 CodesR92.323

R92.323

Mammographic fibroglandular density, bilateral breasts

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

Code Description

ICD-10 R92.323 is a billable code used to indicate a diagnosis of mammographic fibroglandular density, bilateral breasts.

Key Diagnostic Point:

Mammographic fibroglandular density refers to the composition of breast tissue as seen on a mammogram. It is characterized by varying proportions of fibrous and glandular tissue compared to fatty tissue. Bilateral fibroglandular density indicates that both breasts exhibit this density pattern. High fibroglandular density can obscure the detection of breast cancer on mammograms, making it a significant factor in breast cancer screening and diagnosis. Women with dense breast tissue may have a higher risk of breast cancer, necessitating additional imaging or screening methods. Symptoms associated with this finding may include breast pain or discomfort, although many women may be asymptomatic. Clinical findings may include palpable masses or changes in breast contour, which should be evaluated further. The assessment of fibroglandular density is crucial for radiologists and clinicians in determining the appropriate follow-up and management strategies for patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in breast density among patients
  • Need for correlation with mammography reports
  • Potential for additional imaging requirements
  • Risk stratification for breast cancer

Audit Risk Factors

  • Inadequate documentation of mammographic findings
  • Failure to note patient history of breast cancer
  • Misclassification of breast density levels
  • Lack of follow-up imaging documentation

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including family history of breast cancer and any symptoms.

Common Clinical Scenarios

Routine screening mammograms revealing dense breast tissue.

Billing Considerations

Consideration of risk factors for breast cancer and appropriate referrals for further imaging.

Emergency Medicine

Documentation Requirements

Acute care notes should include any presenting symptoms and relevant imaging results.

Common Clinical Scenarios

Patients presenting with breast pain or palpable masses.

Billing Considerations

Rapid assessment and documentation of findings to facilitate timely referrals.

Coding Guidelines

Inclusion Criteria

Use R92.323 When
  • Follow the official ICD
  • CM guidelines for coding symptoms and abnormal findings
  • Ensure that the diagnosis is supported by clinical documentation and imaging reports

Exclusion Criteria

Do NOT use R92.323 When
No specific exclusions found.

Related CPT Codes

77067CPT Code

Mammography, bilateral, including CAD

Clinical Scenario

Used during routine screening for breast cancer.

Documentation Requirements

Mammography report must indicate findings of fibroglandular density.

Specialty Considerations

Radiology must ensure accurate reporting of breast density.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of breast density, improving the accuracy of data collection and patient management strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of breast density, improving the accuracy of data collection and patient management strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of breast density, improving the accuracy of data collection and patient management strategies.

Resources

Clinical References

  • •
    American College of Radiology - Breast Imaging

Coding & Billing References

  • •
    American College of Radiology - Breast Imaging

Frequently Asked Questions

What does R92.323 indicate?

R92.323 indicates the presence of bilateral mammographic fibroglandular density, which may affect breast cancer screening and diagnosis.

How should I document findings for R92.323?

Document the mammography report, patient symptoms, and any follow-up imaging recommendations to support the diagnosis.