Mammographic heterogeneous density, bilateral breasts
ICD-10 R92.333 is a billable code used to indicate a diagnosis of mammographic heterogeneous density, bilateral breasts.
Mammographic heterogeneous density refers to the presence of varying densities in breast tissue as seen on a mammogram. This finding indicates that the breast tissue is not uniformly dense, which can complicate the interpretation of mammograms and may obscure the detection of breast lesions. Heterogeneous density is characterized by a mix of fatty and glandular tissues, which can be influenced by factors such as age, hormonal changes, and genetic predisposition. Bilateral involvement suggests that both breasts exhibit this density pattern. Clinically, this finding may not present with specific symptoms; however, it can be associated with an increased risk of breast cancer, necessitating further evaluation. Patients may be advised to undergo additional imaging studies or biopsies based on the overall assessment of their breast health and risk factors. It is crucial for healthcare providers to document the findings accurately to ensure appropriate follow-up and management.
Documentation should include a detailed description of the mammographic findings, patient history, and any risk factors for breast cancer.
Routine screening mammograms revealing heterogeneous density in asymptomatic patients.
Consideration of family history and personal risk factors for breast cancer is essential for accurate coding and management.
Acute care documentation should include the reason for imaging, findings, and any immediate interventions or referrals.
Patients presenting with breast pain or palpable masses requiring urgent imaging.
Emergency settings may require expedited follow-up and clear documentation of findings for continuity of care.
Used for routine screening or diagnostic evaluation when heterogeneous density is noted.
Document the reason for the mammogram and any findings.
Ensure that the mammogram is interpreted by a qualified radiologist.
Heterogeneous density indicates that the breast tissue has varying densities, which can complicate the interpretation of mammograms and may require further evaluation.
