Mammographic extreme density, left breast
ICD-10 R92.342 is a billable code used to indicate a diagnosis of mammographic extreme density, left breast.
Mammographic extreme density refers to a significant increase in the density of breast tissue as observed on a mammogram. This condition can obscure the visualization of underlying structures, potentially masking the presence of breast cancer or other abnormalities. Extreme density is characterized by a high proportion of fibroglandular tissue compared to fatty tissue, which is common in younger women or those with a genetic predisposition. Clinically, patients may not exhibit symptoms, but the finding is crucial as it can lead to further diagnostic imaging or biopsies to rule out malignancy. The presence of extreme density can complicate the interpretation of mammograms, necessitating additional imaging modalities such as ultrasound or MRI for clearer assessment. It is essential for healthcare providers to communicate the implications of this finding to patients, including the potential need for more frequent screening or alternative imaging strategies.
Detailed patient history, including family history of breast cancer and previous imaging results.
Routine screening mammograms revealing extreme density without palpable masses.
Consideration of patient age and risk factors for breast cancer when coding.
Acute care documentation must include any presenting symptoms and the rationale for imaging.
Patients presenting with breast pain or lumps requiring urgent imaging.
Emergency settings may require expedited imaging and documentation of findings for immediate care.
Used when performing a mammogram that reveals extreme density.
Documentation of the mammogram results and any follow-up recommendations.
Radiology must ensure accurate reporting of findings to support coding.
Extreme density indicates a high proportion of fibroglandular tissue in the breast, which can obscure the detection of tumors on mammograms.
