2026 ICD-10-CM Diagnosis Code R92.2Inconclusive mammogram

ICD-10-CM Codes›R00–R99›R90-R94›R92

ICD-10-CM R92.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R92.2 is a billable ICD-10-CM diagnosis code for inconclusive mammogram. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 600 through 601. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abnormal findings without diagnosis.

Code Identity

ICD-10-CM Code
R92.2
Billable Status
Yes — Valid for Submission
Code Describes
Inconclusive mammogram
Short Description
Inconclusive mammogram
Same as the full description in the CMS dataset.
Parent Code
R92
Abnormal and inconclusive findings on diagnostic imaging of breast

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR90-R94Abnormal findings on diagnostic imaging and in function studies, without diagnosis
CategoryR92Abnormal and inconclusive findings on diagnostic imaging of breast
This CodeR92.2Inconclusive mammogram

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Breast composition
  • Change since last mammogram
  • Extremely dense breast composition
  • Heterogeneously dense breast composition
  • Implant revised since previous mammogram
  • Inconclusive evaluation finding
  • Inconclusive mammography finding
  • Mammographic breast density
  • Mammography assessment - Benign finding
  • Mammography assessment - Highly suggestive of malignancy
  • Mammography assessment - Need additional imaging evaluation
  • Mammography assessment - Probably benign finding, short interval follow-up
  • Mammography assessment - Suspicious abnormality, biopsy should be considered
  • Mammography assessment finding
  • No significant change since previous mammogram
  • Removal of implant since previous mammogram
  • Tubular density

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Inconclusive mammogram NEC
  • Inconclusive mammography NEC

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Findings, abnormal, inconclusive, without diagnosis
      • mammogram NEC
        • inconclusive result
    • Inconclusive
      • mammogram

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM017
Abnormal findings without diagnosis
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Mammography

A mammogram is an x-ray picture of the breast. Health care providers use mammograms to look for early signs of breast cancer that can't be felt during a breast exam. There are two types of mammograms: screening mammograms and diagnostic mammograms.

The full article covers:

  • What is a mammogram?
  • What is a screening mammogram?
  • What is a diagnostic mammogram?
  • How is a mammogram done?
  • What happens if my mammogram is not normal?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R92.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
793.82 Inconclusive mammogram
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R92.2Overview

Is R92.2 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report inconclusive mammogram on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R92.2 group to?

When inconclusive mammogram is the principal diagnosis on an inpatient stay, it groups to MS-DRG 600, 601, with relative weights from 0.6050 to 1.0416 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R92.2 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the inconclusive mammogram is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R92.2?

Under the General Equivalence Mappings, inconclusive mammogram converts to ICD-9-CM 793.82 (inconclusive mammogram). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.