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v1.0.0
ICD-10 Guide
ICD-10 CodesR92.3

R92.3

Mammographic density found on imaging of breast

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

Code Description

ICD-10 R92.3 is a billable code used to indicate a diagnosis of mammographic density found on imaging of breast.

Key Diagnostic Point:

Mammographic density refers to the appearance of breast tissue on a mammogram. It is characterized by the relative proportions of fat, glandular, and connective tissue in the breast. High mammographic density can obscure the detection of breast cancer, as both dense tissue and tumors appear white on a mammogram. This finding is significant because women with high breast density have an increased risk of breast cancer. Mammographic density is classified into four categories based on the Breast Imaging Reporting and Data System (BI-RADS): almost entirely fatty, scattered areas of fibroglandular density, heterogeneously dense, and extremely dense. The clinical implications of mammographic density necessitate careful monitoring and may influence screening recommendations. Patients with dense breasts may require additional imaging, such as ultrasound or MRI, to ensure accurate assessment of breast health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in mammographic density classification
  • Need for correlation with patient history and risk factors
  • Potential for additional imaging requirements
  • Documentation of patient education regarding density implications

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Document the patient's risk factors for breast cancer, any previous imaging results, and the clinical significance of the mammographic density.

Common Clinical Scenarios

Routine screening mammograms revealing high breast density in asymptomatic patients.

Billing Considerations

Ensure that the implications of high mammographic density are discussed with the patient, including potential need for additional imaging.

Emergency Medicine

Documentation Requirements

Document any acute presentations related to breast symptoms, including pain or palpable masses, and the findings from imaging.

Common Clinical Scenarios

Patients presenting with breast pain or lumps who undergo imaging that reveals high mammographic density.

Billing Considerations

Consider the urgency of follow-up imaging and referrals based on the density findings.

Coding Guidelines

Inclusion Criteria

Use R92.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that R92
  • 3 is used only when mammographic density is specifically noted in imaging reports
  • It should not be used as a primary diagnosis unless it is the reason for the visit

Exclusion Criteria

Do NOT use R92.3 When
No specific exclusions found.

Related CPT Codes

77067CPT Code

Digital mammography, bilateral

Clinical Scenario

Used when performing a mammogram that reveals density findings.

Documentation Requirements

Document the reason for the mammogram and any findings related to density.

Specialty Considerations

Ensure that the imaging report includes a clear assessment 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 mammographic findings, improving the ability to track and manage breast health and cancer risk.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of mammographic findings, improving the ability to track and manage breast health and cancer risk.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of mammographic findings, improving the ability to track and manage breast health and cancer risk.

Resources

Clinical References

  • •
    American College of Radiology - BI-RADS

Coding & Billing References

  • •
    American College of Radiology - BI-RADS

Frequently Asked Questions

What does mammographic density mean?

Mammographic density refers to the proportion of glandular and connective tissue compared to fatty tissue in the breast, which can affect the visibility of tumors on mammograms.

How does high mammographic density affect breast cancer risk?

Women with high mammographic density have a higher risk of breast cancer because dense tissue can obscure tumors, making them harder to detect on mammograms.