Unspecified lump in the right breast, upper outer quadrant
ICD-10 N63.11 is a billable code used to indicate a diagnosis of unspecified lump in the right breast, upper outer quadrant.
N63.11 refers to an unspecified lump located in the upper outer quadrant of the right breast. This code is often used when a patient presents with a palpable mass that has not been definitively diagnosed as benign or malignant. The differential diagnosis for breast lumps includes benign breast diseases such as fibroadenomas, cysts, and fibrocystic changes, as well as conditions like mastitis and breast hypertrophy. It is crucial to evaluate the lump through clinical examination and imaging studies, such as mammography or ultrasound, to determine its nature. In cases where the lump is associated with nipple discharge, further investigation is warranted to rule out underlying pathologies. Accurate coding requires thorough documentation of the clinical findings, imaging results, and any interventions performed. This code is particularly relevant in outpatient settings where patients may present for routine breast examinations or follow-ups after initial findings.
Detailed pathology reports, imaging studies, and treatment plans.
Patients presenting with breast lumps requiring biopsy or surgical intervention.
Ensure clear documentation of the lump's characteristics and any malignancy workup.
Imaging reports detailing findings and recommendations for further evaluation.
Breast imaging for patients with palpable lumps or abnormal findings on screening mammograms.
Accurate coding of imaging studies performed in conjunction with the diagnosis.
Used when a lump is identified and requires biopsy for diagnosis.
Document the indication for biopsy and findings from imaging studies.
Ensure that the procedure is linked to the diagnosis of the lump.
Document the characteristics of the lump, any associated symptoms, imaging results, and follow-up plans to support the diagnosis.
