R92.0 — Mammographic microcalcification found on diagnostic imaging of breast
R92.0 is a billable, specific ICD-10-CM code for mammographic microcalcification found on diagnostic imaging of breast. It is valid for submission on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- mammographic calcification (calculus) found on diagnostic imaging of breast (R92.1)
Risk adjustment
R92.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
R92.0 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
How R92.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R92.0.
- Microcalcifications, breast
- Abnormal, abnormality, abnormalities›mammogram NEC›microcalcification
- Findings, abnormal, inconclusive, without diagnosis›mammogram NEC›microcalcification
Related codes at this level
Codes that share R92. If R92.0 is not quite right, the correct code is usually one of these.
Questions about R92.0
- Is R92.0 a billable ICD-10-CM code?
- Yes. R92.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R92.0 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94).