Mammographic fatty tissue density, right breast
ICD-10 R92.311 is a billable code used to indicate a diagnosis of mammographic fatty tissue density, right breast.
Mammographic fatty tissue density refers to the composition of breast tissue as seen on a mammogram. In this context, it indicates that the right breast has a predominance of fatty tissue, which can be a normal finding in women, particularly those who are older or have a higher body mass index. Fatty tissue density can affect the sensitivity of mammograms, as denser breast tissue may obscure lesions or abnormalities. While fatty tissue density itself is not a disease, it is an important factor in breast cancer screening and risk assessment. Clinicians may monitor changes in breast density over time, as increased density can be associated with a higher risk of breast cancer. It is crucial for healthcare providers to document any relevant clinical findings, patient history, and risk factors when coding this condition to ensure accurate diagnosis and treatment planning.
Documentation should include patient history, risk factors for breast cancer, and any previous mammography results.
Routine screening mammograms, follow-up on previous findings, and risk assessment in patients with family history.
Consideration of hormonal factors and lifestyle choices that may affect breast density.
Acute care documentation should include the reason for the mammogram, any acute symptoms, and relevant patient history.
Patients presenting with breast pain or palpable masses requiring urgent evaluation.
Emergency settings may require expedited reporting and follow-up on abnormal findings.
Used for routine screening in patients with fatty tissue density.
Mammography report must indicate findings and any recommendations for follow-up.
Documentation should reflect the patient's risk factors and any previous imaging results.
R92.311 indicates that a mammogram has shown fatty tissue density in the right breast, which is a normal finding but requires monitoring for any changes.