Granulomatous mastitis, right breast
ICD-10 N61.21 is a billable code used to indicate a diagnosis of granulomatous mastitis, right 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 primarily affects women of childbearing age and can be associated with pregnancy or breastfeeding. The right breast is specifically noted in this code, indicating the affected side. Symptoms may include breast pain, swelling, and the presence of a palpable mass. Patients may also experience nipple discharge, which can complicate the clinical picture. Diagnosis typically involves imaging studies such as mammography or ultrasound, which may reveal masses or abnormal tissue changes. A biopsy is often necessary to confirm the diagnosis and rule out malignancy. Granulomatous mastitis can be challenging to manage, as it may not respond to standard antibiotic therapy and may require surgical intervention or corticosteroids. Understanding the benign nature of this condition is crucial for appropriate patient management and reassurance.
Detailed surgical notes, imaging results, and pathology reports.
Patients presenting with breast lumps, pain, or discharge.
Ensure clear documentation of the surgical approach and any complications.
Comprehensive imaging reports detailing findings and recommendations.
Imaging for breast masses or abnormal findings in symptomatic patients.
Accurate coding of imaging studies performed and correlation with clinical findings.
Used when a biopsy is performed to confirm granulomatous mastitis.
Document the indication for biopsy and results.
Breast surgeons should ensure clear documentation of the procedure and findings.
Common symptoms include breast pain, swelling, the presence of a lump, and nipple discharge. Patients may also experience systemic symptoms like fever.
