Neoplasm of uncertain behavior of breast
ICD-10 D48.6 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of breast.
D48.6 refers to neoplasms of uncertain behavior specifically located in the breast. These neoplasms are characterized by atypical cellular features that do not clearly classify them as benign or malignant. The uncertainty in behavior implies that while they may not exhibit aggressive characteristics, there is a potential for progression to malignancy. Clinicians often recommend close surveillance, including regular imaging and biopsies, to monitor changes in size or cellular characteristics. The management of these neoplasms typically involves a multidisciplinary approach, including oncologists, radiologists, and pathologists, to ensure appropriate follow-up and intervention if necessary. The diagnosis is often made through imaging studies such as mammography or ultrasound, followed by histopathological examination of biopsy samples. The clinical implications of a diagnosis of D48.6 necessitate careful patient education regarding the potential risks and the importance of adherence to follow-up protocols.
Detailed pathology reports and imaging studies must be included.
Patients with atypical ductal hyperplasia or lobular neoplasia.
Ensure that all follow-up plans and patient discussions are documented.
Clear imaging reports indicating findings and recommendations for follow-up.
Imaging findings suggestive of neoplasms requiring biopsy.
Document any changes in imaging over time to support coding.
Used when a neoplasm of uncertain behavior is excised for further evaluation.
Pathology report must indicate the behavior of the neoplasm.
Oncology and surgical documentation must align for accurate coding.
D48.6 refers to a neoplasm of uncertain behavior located in the breast, indicating that the neoplasm does not have a clear classification as benign or malignant.
Documentation should include detailed pathology reports, imaging studies, and follow-up plans to ensure accurate coding and billing.
