Other abnormal and inconclusive findings on diagnostic imaging of breast
ICD-10 R92.8 is a billable code used to indicate a diagnosis of other abnormal and inconclusive findings on diagnostic imaging of breast.
R92.8 is used to classify findings from breast imaging studies that are abnormal or inconclusive but do not fit into more specific categories. This may include vague or indeterminate results from mammograms, ultrasounds, or MRIs that do not clearly indicate malignancy or benign conditions. Common findings may include asymmetries, calcifications, or masses that require further evaluation or follow-up imaging. The clinical context often involves patients with risk factors for breast cancer or those undergoing routine screening. The ambiguity of the findings necessitates careful documentation and may lead to additional diagnostic procedures, such as biopsies or repeat imaging, to clarify the nature of the abnormality. Accurate coding is essential to ensure appropriate patient management and reimbursement.
Documentation should include detailed descriptions of imaging findings, patient history, and any follow-up recommendations.
Patients presenting for routine breast screening or those with a family history of breast cancer.
Consider the patient's risk factors and previous imaging results when coding.
Acute care documentation must include the reason for imaging, findings, and any immediate interventions.
Patients presenting with breast pain or palpable masses requiring urgent evaluation.
Ensure that the urgency of the situation is reflected in the documentation to support the use of R92.8.
When a mammogram shows inconclusive findings, R92.8 may be used alongside this CPT code.
Document the findings and any recommendations for follow-up imaging.
Radiologists must ensure clarity in their reports to support the use of R92.8.
R92.8 should be used when imaging findings are abnormal or inconclusive and do not fit into more specific categories. It is essential to document the findings and any follow-up actions.
Documentation must include detailed descriptions of the imaging findings, patient history, and any recommendations for follow-up imaging or procedures.
