ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R92.8

Billable / Specific

Other abnormal and inconclusive findings on diagnostic imaging of breast

R92
Block
0
Synonyms
31
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM R92.8

ICD-10-CM code R92.8 represents Other abnormal and inconclusive findings on diagnostic imaging of breast. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R92). The 2026 edition of ICD-10-CM R92.8 became effective on October 1, 2025.

Medicare LCD Coverage for R92.8

Local Coverage Determinations (LCDs) from CMS MACs that list R92.8 as a covered diagnosis.

31 LCDs

Showing top 10 of 31 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77063 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT C8905 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77065 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 76641 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77054 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77047 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77049 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT C8903 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT C8906 →
CMS LCD: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77066 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R92.8.

6 policies

2 Cigna

Preventive Care Services - (A004)
Policy ID: AD_A004
Transvaginal Ultrasound, Non-Obstetrical - (0398)
Policy ID: MM_0398

2 Medicare

Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
Policy ID: ART-52849
Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Policy ID: ART-56448

2 Aetna

Magnetic Resonance Imaging (MRI) of the Breast
Policy ID: CPB-0105
Breast Biopsy Procedures
Policy ID: CPB-0269

CPT Codes Commonly Billed with R92.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for R92.8

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert R92.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R92.8 79380 10000
R92.8 79389 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R92.8, Billing FAQ

Is ICD-10 code R92.8 billable? +

Yes, R92.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does R92.8 map to? +

Per CMS GEMs, R92.8 maps to ICD-9 codes: 79380, 79389. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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