Unspecified lump in right breast, subareolar
ICD-10 N63.41 is a billable code used to indicate a diagnosis of unspecified lump in right breast, subareolar.
The ICD-10 code N63.41 refers to an unspecified lump located in the right breast, specifically in the subareolar region, which is the area beneath the nipple. This condition can arise from various benign breast diseases, including fibrocystic changes, fibroadenomas, or other non-cancerous growths. It is essential to differentiate these lumps from malignant conditions through appropriate imaging and clinical evaluation. The subareolar region is particularly significant as it may also be associated with conditions such as mastitis, which is an infection of the breast tissue, or breast hypertrophy, where there is an abnormal increase in breast size. Patients may present with symptoms such as nipple discharge, tenderness, or changes in breast contour. Imaging studies, including mammography and ultrasound, are critical in evaluating these lumps to determine their nature and guide further management. Accurate coding requires careful documentation of the clinical findings, imaging results, and any associated symptoms to ensure appropriate treatment and follow-up.
Detailed imaging reports, pathology results, and clinical notes regarding the lump's characteristics.
Evaluation of breast lumps in patients with a family history of breast cancer.
Need for thorough documentation to differentiate between benign and malignant conditions.
Comprehensive imaging studies, including mammograms and ultrasounds, with clear interpretations.
Routine screening and diagnostic imaging for patients presenting with breast lumps.
Accurate coding based on imaging findings and correlation with clinical symptoms.
Used for imaging evaluation of a breast lump.
Include clinical indications and findings from the ultrasound.
Radiology must correlate findings with clinical symptoms.
Documentation should include the patient's clinical history, physical examination findings, imaging results, and any relevant laboratory tests to support the diagnosis of an unspecified lump in the right breast.
