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R92.3 ICD-10-CM Code: Mammographic density found on imaging of breast

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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

R92.3

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Mammographic density found on imaging of breast

Mammographic density found on imaging of breast

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
R92Abnormal and inconclusive findings on diagnostic imaging of breast
R92.3Mammographic density found on imaging of breast

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for R92.3 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for R92.3 in this effective period.

Related Child Codes

Official
R92.30Dense breasts, unspecified
R92.31Mammographic fatty tissue density of breast
R92.32Mammographic fibroglandular density of breast
R92.33Mammographic heterogeneous density of breast
R92.34Mammographic extreme density of breast

Includes

Official

ICD-10-CM does not list Includes notes for R92.3 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for R92.3 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for R92.3 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for R92.3 in this effective period.

Code Also

Official
  • , if applicable, inconclusive mammogram (R92.2)

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

R92.3 is the ICD-10-CM diagnosis code for mammographic density found on imaging of breast. R92.3 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering abnormal findings on diagnostic imaging and in function studies, without diagnosis (r90-r94).

Header codes like R92.3 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at R92.3's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R92.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Code Also

  • , if applicable, inconclusive mammogram (R92.2)

Child Codes

Code Hierarchy

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