October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

R92 Abnormal and inconclusive findings on diagnostic imaging of breast

All 17 codes in the R92 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

17

Can lead a claim

0

Cannot lead a claim

17

What CMS assigns to R92

None of the 17 codes is assigned a clinical group. None of the 17 is assigned a comorbidity subgroup. None can lead a claim.

Every code in R92

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R92.0Mammographic microcalcification found on diagnostic imaging of breastCMS: Mammographic microcalcification found on dx imaging of brstCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.1Mammographic calcification found on diagnostic imaging of breastCMS: Mammographic calcifcn found on diagnostic imaging of breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.2Inconclusive mammogramCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.3 Mammographic density found on imaging of breast
R92.30Dense breasts, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.31 Mammographic fatty tissue density of breast
R92.311Mammographic fatty tissue density, right breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.312Mammographic fatty tissue density, left breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.313Mammographic fatty tissue density, bilateral breastsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.32 Mammographic fibroglandular density of breast
R92.321Mammographic fibroglandular density, right breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.322Mammographic fibroglandular density, left breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.323Mammographic fibroglandular density, bilateral breastsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.33 Mammographic heterogeneous density of breast
R92.331Mammographic heterogeneous density, right breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.332Mammographic heterogeneous density, left breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.333Mammographic heterogeneous density, bilateral breastsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.34 Mammographic extreme density of breast
R92.341Mammographic extreme density, right breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.342Mammographic extreme density, left breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.343Mammographic extreme density, bilateral breastsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R92.8Other abnormal and inconclusive findings on diagnostic imaging of breastCMS: Oth abn and inconclusive findings on dx imaging of breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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