Granulomatous mastitis, unspecified breast
ICD-10 N61.20 is a billable code used to indicate a diagnosis of granulomatous mastitis, unspecified breast.
Granulomatous mastitis is a rare form of breast inflammation characterized by the formation of granulomas, which are small areas of inflammation due to the accumulation of immune cells. This condition can present as a palpable mass in the breast, often mimicking breast cancer, and may be associated with symptoms such as breast pain, swelling, and sometimes nipple discharge. The etiology of granulomatous mastitis is not fully understood, but it has been linked to various factors including autoimmune diseases, infections, and possibly hormonal influences. Diagnosis typically involves imaging studies such as mammography or ultrasound, followed by biopsy to confirm the presence of granulomas. Treatment may include corticosteroids or surgical intervention, depending on the severity and persistence of symptoms. Accurate coding is essential for proper management and reimbursement, as this condition can be confused with other benign and malignant breast diseases.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with breast lumps, pain, or discharge requiring surgical evaluation.
Ensure clear documentation of differential diagnoses and rationale for surgical intervention.
Comprehensive imaging reports detailing findings and recommendations for further evaluation.
Imaging studies performed for patients with suspected breast masses.
Accurate reporting of imaging findings is crucial for coding and diagnosis confirmation.
Used when a biopsy is performed to confirm granulomatous mastitis.
Document the indication for biopsy and results.
Ensure alignment with surgical notes and pathology reports.
Common symptoms include breast pain, swelling, the presence of a lump, and sometimes nipple discharge. It may also present with localized redness and warmth.
Diagnosis typically involves a combination of clinical examination, imaging studies such as ultrasound or mammography, and histological confirmation through biopsy.
Treatment may include corticosteroids to reduce inflammation, antibiotics if an infection is suspected, and in some cases, surgical intervention to remove affected tissue.
