R92Not billable, use a more specific code below

Abnormal and inconclusive findings on diagnostic imaging of breast

In Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

17 billable codes under R92: none are a CC or MCC; none map to an HCC.

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Instructional notes

Also applies, from Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

These notes sit on R90-R94 and apply to every code under it, including R92.

Includes: conditions that are coded here

  • nonspecific abnormal findings on diagnostic imaging by computerized axial tomography [CAT scan]
  • nonspecific abnormal findings on diagnostic imaging by magnetic resonance imaging [MRI][NMR]
  • nonspecific abnormal findings on diagnostic imaging by positron emission tomography [PET scan]
  • nonspecific abnormal findings on diagnostic imaging by thermography
  • nonspecific abnormal findings on diagnostic imaging by ultrasound [echogram]
  • nonspecific abnormal findings on diagnostic imaging by X-ray examination

Excludes1: not coded here, use a different code

  • abnormal findings on antenatal screening of mother (O28.-)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

Read Section I.C.18 (page 75), 1 more topics

R92 MS-DRGs

As the principal diagnosis, all 17 billable codes under R92 group to MS-DRG 600 or 601 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to R92

Notes on these codes point to R92.

  • N64.5 Excludes2: abnormal findings on diagnostic imaging of breast (R92.-)

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.