Unspecified lump in axillary tail of the right breast
ICD-10 N63.31 is a billable code used to indicate a diagnosis of unspecified lump in axillary tail of the right breast.
The ICD-10 code N63.31 refers to an unspecified lump located in the axillary tail of the right breast. This condition is often associated with benign breast diseases, which can include fibrocystic changes, fibroadenomas, or lipomas. The axillary tail, also known as the axillary process or tail of Spence, is an extension of breast tissue that extends into the axilla (armpit) area. Patients may present with a palpable mass, which can be asymptomatic or associated with discomfort. Differential diagnoses may include mastitis, which is an infection of the breast tissue, or breast hypertrophy, characterized by excessive breast tissue growth. Imaging studies such as mammography or ultrasound are typically employed to evaluate the lump, assess its characteristics, and rule out malignancy. Nipple discharge may also be evaluated if present, as it can indicate underlying pathology. Accurate coding requires thorough documentation of the lump's characteristics, patient history, and any imaging results to ensure appropriate management and follow-up.
Detailed imaging reports, pathology results, and treatment plans.
Evaluation of breast lumps for potential malignancy, follow-up after biopsy.
Ensure clear documentation of any findings that may indicate cancer.
Comprehensive imaging reports detailing findings and recommendations.
Breast ultrasound or mammography for evaluation of palpable lumps.
Accurate descriptions of imaging findings are crucial for coding.
Used to evaluate a palpable lump in the axillary tail of the right breast.
Include indication for ultrasound and findings.
Radiologists should provide detailed descriptions of the lump.
Documentation should include the characteristics of the lump, any associated symptoms, imaging results, and the clinical decision-making process.
