Unspecified lump in axillary tail
ICD-10 N63.3 is a billable code used to indicate a diagnosis of unspecified lump in axillary tail.
N63.3 refers to an unspecified lump located in the axillary tail of the breast, which is an area extending from the breast tissue into the axilla (armpit). This code is often used when a palpable mass is detected during a clinical examination, but further diagnostic imaging or histological evaluation has not yet been performed to determine the nature of the lump. The axillary tail is a common site for benign breast diseases, including fibrocystic changes, fibroadenomas, and lipomas. It is also important to consider the potential for malignancy, particularly in patients with risk factors such as family history or previous breast cancer. The presence of a lump in this area may be associated with other breast conditions, including mastitis, which is an infection of the breast tissue, or breast hypertrophy, characterized by excessive breast tissue growth. Nipple discharge may also accompany breast lumps, necessitating thorough evaluation. Imaging studies, such as mammography or ultrasound, are critical in assessing the characteristics of the lump and guiding further management. Accurate coding for N63.3 requires careful documentation of the clinical findings and any imaging results to ensure appropriate treatment and follow-up.
Detailed clinical notes on the examination findings, imaging studies, and any biopsies performed.
Evaluation of palpable breast lumps, management of benign breast disease, and follow-up of patients with previous breast conditions.
Ensure that all imaging and pathology reports are included in the patient's record to support the diagnosis.
Comprehensive imaging reports detailing the characteristics of the lump, including size, shape, and any associated findings.
Performing mammograms or ultrasounds for further evaluation of breast lumps.
Radiologists should provide clear recommendations for follow-up based on imaging findings.
Used to evaluate a lump in the axillary tail.
Document the reason for the ultrasound and findings.
Radiologists should ensure clear communication of findings to referring providers.
Document the clinical findings, any imaging studies performed, and the patient's history related to the lump. Ensure that all relevant information is included to support the diagnosis.
