AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 4; New/Revised ICD-10-CM Codes
Dense Breasts on Mammography
Subcategory R92.3, Mammographic density found on imaging of breast, has been created to capture the distinct types of breast density found during mammography. Breast density is a measure of how much fibrous and glandular tissue is present in breasts compared to fatty tissue. Although having dense breasts is common in women, the density makes visualization during mammography difficult. The American College of Radiology created the Breast Imaging Reporting and Data System (BI-RADS) to classify the various degrees of breast density. The addition of these new codes will now allow reporting of screening mammogram along with findings of...
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Article Overview
This article covers a coding update related to mammography findings of breast density, including the rationale for adding more specific breast-density reporting categories and how they fit alongside screening mammogram documentation. It is aimed at coding and billing professionals working with breast imaging claims, diagnosis reporting, and imaging terminology such as BI-RADS. The article also includes a brief encounter-based example showing how the concepts are applied in a mammography scenario.
Why This Topic Matters
Accurate reporting of breast density findings can affect diagnosis coding completeness and consistency on mammography claims. This content helps coders understand the scope of the added breast-density categories and the type of documentation involved in breast imaging encounters.
Article Sections
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Breast density and mammography reporting
Introduces the breast density topic and explains its role in mammography interpretation and reporting. It also references the imaging classification framework used in breast imaging.
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New breast density subcategories
Summarizes the added diagnosis subcategories for breast density findings and notes the related coding context. The section focuses on the organization of the new reporting categories.
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Clinical example
Presents a screening mammography encounter and asks for the appropriate diagnosis code assignments. The example illustrates the type of documentation scenario addressed in the article.
What You Will Learn
- The purpose of the breast density coding update
- How breast density findings are organized in the diagnosis classification
- How the article frames breast imaging reporting in a screening encounter
- The type of documentation context used when breast density is reported with mammography
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Radiology coding specialists
Codes Discussed
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