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  6. 2025 ICD-10-CM Code R92.2

2025 ICD-10-CM Diagnosis Code R92.2

Inconclusive mammogram

ICD-10-CM Code:
R92.2
ICD-10 Code for:
Inconclusive mammogram
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

R92.2 is a billable diagnosis code used to specify a medical diagnosis of inconclusive mammogram. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Code Classification

  • 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
      • Abnormal and inconclusive findings on diagnostic imaging of breast
        R92

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Breast composition
  • 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
  • Mammography assessment finding
  • Mammography assessment finding
  • Mammography assessment finding
  • Mammography assessment finding
  • No significant change since previous mammogram
  • Removal of implant since previous mammogram
  • Tubular density

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Abnormal findings without diagnosis

CCSR Code: SYM017

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Inconclusive mammogram NEC
  • Inconclusive mammography NEC

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert R92.2 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Inconclusive mammogram

ICD-9-CM: 793.82

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

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Patient Education


Mammography

What is a mammogram?

A mammogram is an x-ray picture of the breast. Health care providers use mammograms to look for early signs of breast cancer. There are two types of mammograms: screening mammograms and diagnostic mammograms.

What is a screening mammogram?

A screening mammogram is a mammogram usually done for women who have no signs or symptoms of breast cancer. Regular screening mammograms can help reduce the number of deaths from breast cancer among women ages 40 to 74. This is because they can find breast cancer early and treatment can start earlier, maybe before it has spread.

But screening mammograms can also have risks. They can sometimes find something that looks abnormal but isn't cancer. This leads to further testing and can cause you anxiety. Sometimes mammograms can miss cancer when it is there. It also exposes you to radiation. You should talk to your provider about the benefits and drawbacks of mammograms. Together, you can decide when to start and how often to have a mammogram.

Not much is known about breast cancer risk in transgender people. If you are transgender, talk to your provider about your risk and whether you need screening mammograms.

What is a diagnostic mammogram?

A diagnostic mammogram is done for people who have a lump or other signs or symptoms of breast cancer. The signs can include breast pain, thickening of the skin of the breast, nipple discharge, or a change in breast size or shape. But these signs can also be caused by a breast condition that is benign (not cancer). A mammogram, along with other tests, can help your provider figure out whether you have cancer.

How is a mammogram done?

When you have a mammogram, you stand in front of an x-ray machine. The person who takes the x-rays places your breast between two plastic plates. The plates press your breast and make it flat. This may be uncomfortable, but it helps get a clear picture.

You will get both breasts x-rayed from the front and from the side. Afterwards, a radiologist (a doctor with special training) will read the mammogram. The doctor will look at the x-ray for early signs of breast cancer or other problems. You will usually get the results within a few weeks, although it depends on the clinic or medical office that you went to. If your results are not normal, you should hear back earlier. Contact your provider or the office where you had the mammogram if you do not receive a report of your results within 30 days.

What happens if my mammogram is not normal?

An abnormal (not normal) mammogram does not always mean that there is cancer. You will need to have additional mammograms, tests, or exams before your provider can tell for sure. You may also be referred to a breast specialist or a surgeon. But it does not necessarily mean you have cancer or need surgery. You would see one of these doctors because they are experts in diagnosing breast problems.


[Learn More in MedlinePlus]

Mammograms

Learn what screening and diagnostic mammograms are and how findings, including breast density, are reported. This fact sheet also discusses the benefits and potential harms of screening mammography.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.