Mastitis without abscess
ICD-10 N61.0 is a billable code used to indicate a diagnosis of mastitis without abscess.
Mastitis without abscess is an inflammatory condition of the breast tissue that typically occurs in lactating women but can also affect non-lactating individuals. It is characterized by breast pain, swelling, warmth, and redness, often accompanied by systemic symptoms such as fever and malaise. The inflammation is usually due to bacterial infection, often stemming from blocked milk ducts or nipple fissures. In non-lactating women, mastitis can occur due to other factors such as trauma, duct ectasia, or hormonal changes. Diagnosis is primarily clinical, supported by imaging studies like ultrasound if an abscess is suspected. Treatment generally involves antibiotics and supportive care, including warm compresses and analgesics. If left untreated, mastitis can lead to the formation of an abscess, necessitating more invasive interventions. Understanding the nuances of mastitis without abscess is crucial for accurate coding and management, particularly in differentiating it from other breast conditions such as breast lumps or benign breast disease.
Detailed clinical notes on symptoms, treatment plans, and follow-up care.
Postpartum women presenting with breast pain and fever.
Documentation should clearly differentiate between mastitis and other breast conditions.
Surgical notes if any intervention is performed, including imaging results.
Patients with suspected abscess requiring surgical evaluation.
Ensure clarity on whether the condition is mastitis without abscess or if surgical intervention is needed.
Used for follow-up visits for mastitis management.
Document symptoms, treatment response, and any changes in condition.
Obstetricians should note lactation status.
Common symptoms include breast pain, swelling, redness, warmth, and systemic symptoms like fever.
Treatment typically involves antibiotics, warm compresses, and analgesics for pain relief.
Ultrasound is often used to evaluate for abscess formation if clinically indicated.
Yes, mastitis can occur in non-lactating women due to various factors such as trauma or hormonal changes.
