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Inconclusive mammogram

ICD10CM code
#### Name of the Condition
- Inconclusive Mammogram (ICD-10 Code R92.2)

#### Summary
- An inconclusive mammogram is a diagnostic result indicating that the images obtained do not provide enough information for a definitive interpretation, necessitating further testing or imaging to reach a clear diagnosis.

#### Causes
- Dense breast tissue, overlapping tissue, unclear imaging due to movement, or technical issues during the mammogram procedure can all contribute to inconclusive results.

#### Risk Factors
- High breast density, previous breast surgeries, poor imaging quality, and inadequate patient positioning during the mammogram.

#### Symptoms
- Inconclusive mammograms typically do not present symptoms; however, they may prompt further investigation if an abnormality was suspected clinically.

#### Diagnosis
- After an inconclusive mammogram, additional diagnostic tests such as repeat mammograms, breast ultrasounds, or MRIs are used to clarify the imaging results.

#### Treatment Options
- Treatment is not applicable for an inconclusive mammogram itself, but further diagnostic evaluations are essential to rule out or diagnose breast conditions.

#### Prognosis and Follow-Up
- The prognosis depends on subsequent test results. Regular monitoring and follow-up imaging may be necessary if initial results remain unclear.

#### Complications
- Delayed diagnosis of potential breast conditions if follow-up tests are not conducted promptly.

#### Lifestyle & Prevention
- While the inconclusiveness cannot always be prevented, maintaining a healthy lifestyle and regular breast examinations can aid in overall breast health.

#### When to Seek Professional Help
- If you receive an inconclusive mammogram result, follow up with your healthcare provider for additional tests. Seek help if you notice any new lumps or changes in breast tissue.

#### Additional Resources
- American Cancer Society (www.cancer.org)
- RadiologyInfo.org for patient-friendly information on imaging tests.

#### Tips for Medical Coders
- Ensure accurate coding by verifying the context of the mammogram in medical records. Avoid confusion with codes for abnormal findings or specific abnormalities without further diagnostic clarification.

Medical Policies and Guidelines for Inconclusive mammogram

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