Is R92.1 a billable ICD-10-CM code?

Yes. R92.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R92.1 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).

R92.1

R92.1 — Mammographic calcification found on diagnostic imaging of breast

Billable / specific codeICD-10-CM

R92.1 is a billable, specific ICD-10-CM code for mammographic calcification found on diagnostic imaging of breast. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Mammographic calculus found on diagnostic imaging of breast

Risk adjustment

R92.1 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

R92.1 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 R92.1 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 R92.1.

Calcification›mammographic
Calculus, calculi, calculous›mammographic
Abnormal, abnormality, abnormalities›mammogram NEC›calcification(calculus)
Findings, abnormal, inconclusive, without diagnosis›mammogram NEC›calcification(calculus)

Related codes at this level

Codes that share R92. If R92.1 is not quite right, the correct code is usually one of these.

Questions about R92.1

Is R92.1 a billable ICD-10-CM code?: Yes. R92.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R92.1 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).