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v1.0.0
ICD-10 Guide
ICD-10 CodesD24.9

D24.9

Billable

Benign neoplasm of unspecified breast

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

Code Description

ICD-10 D24.9 is a billable code used to indicate a diagnosis of benign neoplasm of unspecified breast.

Key Diagnostic Point:

D24.9 refers to a benign neoplasm of the breast that is not specified further. Benign breast neoplasms can include a variety of conditions such as fibroadenomas, lipomas, and cysts. These tumors are typically non-cancerous and may not require aggressive treatment. The clinical presentation can vary, with some patients experiencing palpable masses, while others may be asymptomatic. Diagnosis is often made through imaging studies such as mammography or ultrasound, followed by biopsy if necessary. Management may involve monitoring, surgical excision, or other interventions depending on the size, symptoms, and patient preference. Follow-up care is essential to ensure that the neoplasm remains benign and to monitor for any changes that may warrant further investigation. The absence of specific details in the code necessitates careful documentation to support the diagnosis and management plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for differential diagnosis to rule out malignancy
  • Potential for multiple types of benign neoplasms under this code
  • Documentation requirements for monitoring and follow-up

Audit Risk Factors

  • Insufficient documentation of clinical findings
  • Inadequate follow-up notes
  • Failure to differentiate from malignant conditions
  • Lack of clear treatment plans

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports and imaging studies must be included.

Common Clinical Scenarios

Patients presenting with breast lumps requiring biopsy.

Billing Considerations

Ensure clear documentation of benign versus malignant findings.

Radiology

Documentation Requirements

Imaging reports must clearly indicate findings and recommendations.

Common Clinical Scenarios

Mammography or ultrasound findings suggestive of benign lesions.

Billing Considerations

Accurate coding based on imaging results is crucial.

Coding Guidelines

Inclusion Criteria

Use D24.9 When
  • According to the ICD
  • CM coding guidelines, D24
  • 9 should be used when the specific type of benign neoplasm is not documented
  • Coders should ensure that the documentation supports the diagnosis and that any relevant imaging or pathology reports are included

Exclusion Criteria

Do NOT use D24.9 When
No specific exclusions found.

Related ICD-10 Codes

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 must ensure accurate coding based on pathology results.

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 ability to track and manage these conditions. D24.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the ability to track and manage these conditions. D24.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the ability to track and manage these conditions. D24.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

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 neoplasms?

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.