AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1; Ask the Editor

Screening Mammogram with Finding of Dense Breasts

What is the correct ICD-10-CM diagnosis code assignment for an encounter for a screening mammogram, when the patient is found to have dense breasts? The ICD-10-CM Official Guidelines for Coding and Reporting, Section I, C, 21, c, 5, clarifies that a screening code is the first listed code if the reason for the visit is specifically the screening exam. If a condition is discovered during the screening then the code for the condition may be assigned as an additional diagnosis. Should code R92.2, Inconclusive mammogram, be assigned as an additional diagnosis when dense breasts are documented? ...

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