ICD-10 Coding for Fibroglandular Density(R92.323)
Complete ICD-10-CM coding and documentation guide for Fibroglandular Density. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fibroglandular Density
R92.3-R92.39Primary Range
Abnormal and inconclusive findings on diagnostic imaging of breast
This range includes codes specifically for fibroglandular density findings on mammograms.
Key Information: ICD-10 code for fibroglandular density
Essential facts and insights about Fibroglandular Density
Primary ICD-10-CM Code for fibroglandular density
Decision Criteria
clinical Criteria
- Documented bilateral fibroglandular density on mammogram
coding Criteria
- Use R92.323 when density is documented and affects clinical decisions
documentation Criteria
- Include BI-RADS category and laterality in the report
Applicable To
- Bilateral mammographic fibroglandular density
Excludes
- Inconclusive mammogram due to density (R92.2)
Clinical Validation Requirements
- Mammogram report indicating bilateral fibroglandular density
- BI-RADS category B or higher
Code-Specific Risks
- Incorrectly coding incidental findings
- Omitting laterality when documented
Coding Notes
- Ensure laterality is documented and coded correctly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening mammogram for malignant neoplasm of breast
Z12.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fibroglandular Density to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R92.323.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Review mammogram reports for completeness., Educate staff on documentation standards.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with updated coding guidelines., Data Quality: Inaccurate data on breast density prevalence.
Mitigation Strategy
Verify documentation specifies fibroglandular density and use R92.323 if applicable.
Impact
Using outdated or incorrect codes for fibroglandular density.
Mitigation Strategy
Regularly update coding resources and train staff.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fibroglandular Density, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fibroglandular Density
Use these documentation templates to ensure complete and accurate documentation for Fibroglandular Density. These templates include all required elements for proper coding and billing.
Documenting Fibroglandular Density in Mammogram Reports
Specialty: RadiologyRequired Elements
- BI-RADS category
- Laterality
- Impact on imaging sensitivity
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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