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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsD24

D24

Billable

Benign neoplasm of breast

Chapter 2:Neoplasms

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D24 is a billable code used to indicate a diagnosis of benign neoplasm of breast.

Key Diagnostic Point:

Benign neoplasms of the breast, such as fibroadenomas and phyllodes tumors, are non-cancerous growths that can occur in breast tissue. These neoplasms are typically characterized by their well-defined borders and lack of invasive properties. Fibroadenomas are the most common type of benign breast tumor, often found in younger women, and may present as palpable lumps. Phyllodes tumors, while also benign, can grow rapidly and may require surgical intervention. Diagnosis is usually confirmed through imaging studies such as mammography or ultrasound, followed by a biopsy. Management often involves monitoring smaller tumors, while larger or symptomatic tumors may necessitate surgical excision. Follow-up care is essential to ensure that any changes in the neoplasm are monitored, and patients should be educated about self-examination techniques to detect any new lumps or changes in breast tissue.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms of benign neoplasms
  • Need for accurate differentiation from malignant conditions
  • Potential for overlapping codes with other breast conditions
  • Documentation requirements for surgical interventions

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify the type of benign neoplasm
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation post-surgery

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports and imaging studies must be included.

Common Clinical Scenarios

Management of patients with newly diagnosed benign breast tumors requiring surgical intervention.

Billing Considerations

Ensure accurate coding of tumor type and size, as well as any associated treatments.

Radiology

Documentation Requirements

Imaging reports must clearly indicate findings and recommendations.

Common Clinical Scenarios

Performing mammograms or ultrasounds to evaluate breast lumps.

Billing Considerations

Documentation should specify the imaging techniques used and findings related to the neoplasm.

Coding Guidelines

Inclusion Criteria

Use D24 When
  • According to ICD
  • 10 guidelines, D24 should be used when a benign neoplasm of the breast is confirmed through imaging and biopsy
  • It is important to document the specific type of neoplasm and any associated symptoms or treatments

Exclusion Criteria

Do NOT use D24 When
No specific exclusions found.

Related CPT Codes

19120CPT Code

Excision, breast tumor

Clinical Scenario

Used when a benign breast tumor is surgically excised.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Oncology specialists should ensure accurate coding of tumor type and size.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a benign neoplasm and a malignant neoplasm?

Benign neoplasms are non-cancerous growths that do not invade surrounding tissues or metastasize, while malignant neoplasms are cancerous and can spread to other parts of the body.