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ICD-10 Guide
ICD-10 CodesR92.322

R92.322

Mammographic fibroglandular density, left breast

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

Code Description

ICD-10 R92.322 is a billable code used to indicate a diagnosis of mammographic fibroglandular density, left breast.

Key Diagnostic Point:

Mammographic fibroglandular density refers to the composition of breast tissue as seen on a mammogram. It indicates the proportion of fibrous and glandular tissue compared to fatty tissue in the breast. High fibroglandular density can obscure the detection of breast cancer on mammograms, making it a significant factor in breast cancer screening. The left breast is specified in this code, indicating that the density is assessed specifically in that breast. Patients with high fibroglandular density may have an increased risk of breast cancer, necessitating closer monitoring and potentially additional imaging studies. This finding is often incidental, discovered during routine screening mammograms, and may not present with any symptoms. However, it is crucial for healthcare providers to communicate the implications of this finding to patients, including the need for regular follow-up and potential additional imaging, such as ultrasound or MRI, to ensure comprehensive breast health management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in mammographic interpretation among radiologists
  • Need for correlation with patient history and risk factors
  • Potential for misclassification of density levels
  • Documentation requirements for follow-up imaging

Audit Risk Factors

  • Inconsistent documentation of mammographic findings
  • Failure to note follow-up recommendations
  • Misinterpretation of density levels leading to incorrect coding
  • Lack of patient education documentation regarding density implications

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include a detailed history of breast health, any previous imaging results, and a discussion of the implications of fibroglandular density with the patient.

Common Clinical Scenarios

Patients presenting for routine screening who have a history of breast density issues or family history of breast cancer.

Billing Considerations

Internal medicine providers should ensure that patients understand the significance of their mammographic findings and the need for regular follow-up.

Emergency Medicine

Documentation Requirements

Acute care documentation should include any presenting symptoms, imaging results, and immediate management plans.

Common Clinical Scenarios

Patients presenting with breast pain or palpable masses who may have a history of high fibroglandular density.

Billing Considerations

Emergency providers should be aware of the implications of fibroglandular density when evaluating breast complaints, ensuring appropriate referrals for follow-up imaging.

Coding Guidelines

Inclusion Criteria

Use R92.322 When
  • According to ICD
  • CM guidelines, R92
  • 322 should be used when mammographic findings indicate fibroglandular density specifically in the left breast
  • Coders should ensure that the documentation supports the diagnosis and includes any relevant imaging reports

Exclusion Criteria

Do NOT use R92.322 When
No specific exclusions found.

Related CPT Codes

77067CPT Code

Digital mammography, bilateral

Clinical Scenario

Used during routine screening for breast cancer detection.

Documentation Requirements

Documentation must include the reason for the mammogram and any findings.

Specialty Considerations

Radiologists should ensure that findings related to fibroglandular density are clearly documented.

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 patient care related to breast health. R92.322 provides a clear indication of the need for follow-up and monitoring.

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 patient care related to breast health. R92.322 provides a clear indication of the need for follow-up and monitoring.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of breast density, improving the ability to track and manage patient care related to breast health. R92.322 provides a clear indication of the need for follow-up and monitoring.

Resources

Clinical References

  • •
    American College of Radiology - Breast Density

Coding & Billing References

  • •
    American College of Radiology - Breast Density

Frequently Asked Questions

What does high fibroglandular density mean for my breast health?

High fibroglandular density means that your breast tissue has a higher proportion of fibrous and glandular tissue compared to fatty tissue. This can make it harder to detect breast cancer on mammograms, so additional imaging may be recommended.