Unspecified lump in breast
Chapter 14:Diseases of the genitourinary system
ICD-10 N63 is a billable code used to indicate a diagnosis of unspecified lump in breast.
The ICD-10 code N63 is used to classify an unspecified lump in the breast, which may arise from various benign conditions such as fibrocystic changes, fibroadenomas, or other benign breast diseases. This code is often utilized when a patient presents with a palpable mass in the breast that has not been definitively diagnosed through imaging or biopsy. The lump may be associated with symptoms such as breast pain, tenderness, or changes in nipple discharge. It is crucial for healthcare providers to conduct thorough evaluations, including clinical breast examinations and imaging studies like mammography or ultrasound, to rule out malignancy and determine the nature of the lump. In cases of mastitis or breast hypertrophy, the presence of a lump may also be noted, necessitating careful documentation to differentiate between these conditions. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the incidence of breast-related conditions in the population.
Detailed clinical notes, imaging results, and biopsy reports.
Patients presenting with breast lumps requiring further evaluation for malignancy.
Ensure clear documentation of the diagnostic process and any referrals for further testing.
Imaging reports, including mammograms and ultrasounds, with clear descriptions of findings.
Imaging studies performed to evaluate breast lumps.
Accurate coding based on imaging findings and correlation with clinical symptoms.
Used for screening or diagnostic evaluation of breast lumps.
Mammography report detailing findings and recommendations.
Radiologists should ensure correlation with clinical findings.
Use code N63 when a patient presents with a lump in the breast that has not been definitively diagnosed as benign or malignant. Ensure that documentation supports the unspecified nature of the lump.
