R92.2
R92.2: Inconclusive mammogram
Billable / specific codeICD-10-CM
R92.2 is a billable, specific ICD-10-CM code for inconclusive mammogram. It is valid for submission on a claim.
Check R92.2 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Inconclusive mammogram NEC
- Inconclusive mammography NEC
Other codes that can never be billed with R92.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z12.31Encounter for screening mammogram for malignant neoplasm of breast
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R92.2 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Inconclusive›mammogram
- Findings, abnormal, inconclusive, without diagnosis›mammogram NEC›inconclusive result
Code history
Unchanged in every release from FY2024 to FY2027.