Is R92.3 a billable ICD-10-CM code?

No. R92.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R92.3 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).

R92.3

R92.3 — Mammographic density found on imaging of breast

Non-billable headerICD-10-CM

R92.3 is a non-billable header ICD-10-CM code for mammographic density found on imaging of breast. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, inconclusive mammogram (R92.2)

Risk adjustment

R92.3 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.

Code to one of these instead R92.3

5 child codes. Green means billable.

Related codes at this level

Codes that share R92. If R92.3 is not quite right, the correct code is usually one of these.

Questions about R92.3

Is R92.3 a billable ICD-10-CM code?: No. R92.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R92.3 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).