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v1.0.0
ICD-10 Guide
ICD-10 CodesR92.343

R92.343

Mammographic extreme density, bilateral breasts

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

Code Description

ICD-10 R92.343 is a billable code used to indicate a diagnosis of mammographic extreme density, bilateral breasts.

Key Diagnostic Point:

Mammographic extreme density refers to a condition where the breast tissue appears significantly dense on mammographic imaging. This density can obscure the visualization of underlying structures, making it challenging to detect abnormalities such as tumors or calcifications. Extreme density is classified as a significant risk factor for breast cancer, as it can mask lesions that may otherwise be visible in less dense breast tissue. Patients with bilateral extreme density may experience anxiety regarding their breast health, and they often require additional imaging studies, such as ultrasound or MRI, to ensure accurate diagnosis. The condition is typically identified during routine screening mammograms, where radiologists note the density of breast tissue and may recommend further evaluation based on the findings. It is essential for healthcare providers to communicate the implications of extreme density to patients, including the potential need for more frequent screenings or alternative imaging modalities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in breast density classification among radiologists
  • Need for additional imaging studies to confirm findings
  • Potential for increased patient anxiety and follow-up requirements
  • Documentation of patient history and risk factors

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to note patient history related to breast cancer risk
  • Misclassification of breast density levels
  • Lack of follow-up documentation for additional imaging

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including family history of breast cancer and previous imaging results.

Common Clinical Scenarios

Routine screening for women over 40, follow-up for patients with a history of breast abnormalities.

Billing Considerations

Consideration of hormonal factors and other risk factors that may influence breast density.

Emergency Medicine

Documentation Requirements

Acute care documentation must include the reason for imaging and any immediate findings.

Common Clinical Scenarios

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

Billing Considerations

Rapid assessment of imaging results and coordination with radiology for urgent follow-up.

Coding Guidelines

Inclusion Criteria

Use R92.343 When
  • Follow official ICD
  • CM guidelines for coding symptoms and abnormal findings, ensuring that the code reflects the clinical scenario accurately
  • Document any additional imaging or follow
  • up recommendations

Exclusion Criteria

Do NOT use R92.343 When
No specific exclusions found.

Related CPT Codes

77067CPT Code

Mammography, bilateral, diagnostic

Clinical Scenario

Used when a patient with extreme density requires further evaluation after a screening mammogram.

Documentation Requirements

Document the reason for the diagnostic mammogram and any findings.

Specialty Considerations

Radiology must ensure that the imaging report clearly indicates the need for further evaluation due to 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 ability to track and manage patients at risk for breast cancer. R92.343 provides a clear designation for extreme density, which can influence screening protocols and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of breast density, improving the ability to track and manage patients at risk for breast cancer. R92.343 provides a clear designation for extreme density, which can influence screening protocols and patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of breast density, improving the ability to track and manage patients at risk for breast cancer. R92.343 provides a clear designation for extreme density, which can influence screening protocols and patient management.

Resources

Clinical References

  • •
    American College of Radiology - Breast Imaging

Coding & Billing References

  • •
    American College of Radiology - Breast Imaging

Frequently Asked Questions

What does mammographic extreme density mean?

Mammographic extreme density indicates that the breast tissue appears very dense on imaging, which can obscure the detection of abnormalities and is associated with an increased risk of breast cancer.

How is extreme density assessed?

Extreme density is assessed through mammographic imaging, where radiologists classify breast density based on the proportion of fibroglandular tissue to fatty tissue.

What should be done if a patient has extreme density?

Patients with extreme density may require additional imaging, such as ultrasound or MRI, and should be counseled on their individual risk factors for breast cancer.