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v1.0.0
ICD-10 Guide
ICD-10 CodesD24.2

D24.2

Billable

Benign neoplasm of left breast

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

Code Description

ICD-10 D24.2 is a billable code used to indicate a diagnosis of benign neoplasm of left breast.

Key Diagnostic Point:

A benign neoplasm of the left breast refers to a non-cancerous tumor that arises from the breast tissue. These neoplasms can include various types such as fibroadenomas, lipomas, and cysts. They are typically characterized by well-defined borders and do not invade surrounding tissues or metastasize. Patients may present with a palpable mass, which can be detected during a clinical breast exam or imaging studies such as mammography or ultrasound. While benign, these neoplasms can cause discomfort or anxiety for patients, necessitating further evaluation. Management often involves monitoring the neoplasm through regular follow-up appointments, and in some cases, surgical excision may be recommended if the neoplasm is symptomatic or if there is uncertainty regarding its nature. The prognosis for benign breast neoplasms is generally excellent, with a low risk of recurrence following appropriate treatment. Accurate coding is essential for proper documentation and reimbursement, as well as for tracking the incidence of these conditions in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between benign and malignant neoplasms
  • Variability in clinical presentation and symptoms
  • Need for imaging studies to confirm diagnosis
  • Potential for overlapping symptoms with other breast conditions

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify laterality (left vs. right)
  • Lack of follow-up notes or management plans
  • Misclassification of benign neoplasms as malignant

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports and imaging studies must be included.

Common Clinical Scenarios

Patients presenting with a breast lump requiring biopsy or imaging.

Billing Considerations

Ensure clear differentiation between benign and malignant findings in documentation.

Radiology

Documentation Requirements

Imaging reports must clearly describe the characteristics of the neoplasm.

Common Clinical Scenarios

Mammograms showing suspicious masses that require further evaluation.

Billing Considerations

Accurate descriptions of imaging findings are crucial for coding.

Coding Guidelines

Inclusion Criteria

Use D24.2 When
  • According to ICD
  • 10 guidelines, D24
  • 2 should be used when a benign neoplasm of the left breast is confirmed through clinical evaluation and imaging
  • It is important to document the specific type of neoplasm and any relevant patient history

Exclusion Criteria

Do NOT use D24.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

19301CPT Code

Mastectomy, partial (segmental resection)

Clinical Scenario

Used when a benign neoplasm requires surgical removal.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Oncology specialists should ensure clear documentation of the benign nature of the neoplasm.

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 data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 benign and malignant breast neoplasms?

Benign breast 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.