Granulomatous mastitis, left breast
ICD-10 N61.22 is a billable code used to indicate a diagnosis of granulomatous mastitis, left 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 immune system's response to an irritant or infection. This condition primarily affects women of childbearing age and can present with symptoms such as breast pain, swelling, and the presence of lumps. In the case of N61.22, the condition specifically affects the left breast. Granulomatous mastitis can be associated with various factors, including autoimmune diseases, infections, and even certain medications. Diagnosis typically involves imaging studies such as mammography or ultrasound, followed by a biopsy to confirm the presence of granulomas. Treatment may include corticosteroids or surgical intervention, depending on the severity of the condition. Accurate coding is essential for proper management and reimbursement, as this condition can mimic other breast diseases, necessitating thorough documentation and differentiation from other types of mastitis and breast lumps.
Detailed surgical notes, imaging results, and pathology reports.
Surgical intervention for granulomatous mastitis, management of recurrent cases.
Ensure clear documentation of the surgical approach and any complications.
Comprehensive imaging reports detailing findings and recommendations.
Imaging evaluation of breast lumps and inflammatory changes.
Accurate correlation of imaging findings with clinical symptoms is crucial.
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 lumps, and sometimes nipple discharge. Patients may also experience tenderness in the affected area.