Mammographic heterogeneous density, left breast
ICD-10 R92.332 is a billable code used to indicate a diagnosis of mammographic heterogeneous density, left breast.
Mammographic heterogeneous density refers to the presence of varying densities in breast tissue as seen on a mammogram. This finding indicates that the breast tissue is composed of both fatty and dense glandular tissues, which can obscure the visualization of potential abnormalities such as tumors. Heterogeneous density is significant because it may increase the risk of breast cancer and complicate the interpretation of mammograms. Patients with this finding may not exhibit any symptoms, but it is crucial for radiologists and clinicians to monitor these patients closely. Follow-up imaging or additional diagnostic procedures may be warranted to rule out malignancy, especially if there are other risk factors present. The left breast designation specifies the side affected, which is important for accurate diagnosis and treatment planning.
Documentation should include a thorough patient history, risk factors for breast cancer, and any previous imaging results.
Patients presenting for routine screening or those with a family history of breast cancer.
Consideration of hormonal factors and other comorbidities that may affect breast density.
Acute care documentation should include any presenting symptoms, imaging results, and immediate follow-up plans.
Patients presenting with breast pain or palpable masses requiring urgent evaluation.
Emergency settings may require expedited imaging and decision-making regarding further diagnostic procedures.
Used when additional imaging is needed to clarify findings of heterogeneous density.
Document the reason for tomosynthesis and any findings.
Radiology specialists should ensure that imaging correlates with clinical findings.
Heterogeneous density indicates that the breast tissue has areas of varying density, which can make it more challenging to detect abnormalities. It is important for radiologists to assess these findings carefully.
