Other signs and symptoms in breast
ICD-10 N64.5 is a billable code used to indicate a diagnosis of other signs and symptoms in breast.
N64.5 encompasses a variety of benign breast conditions that present with symptoms such as lumps, discharge, or changes in breast tissue. Common benign breast diseases include fibrocystic changes, which can cause breast pain and lumpiness, and breast hypertrophy, characterized by excessive breast tissue growth. Mastitis, an infection of the breast tissue, can lead to swelling, redness, and discharge, particularly in lactating women. Nipple discharge can be physiological or pathological, necessitating careful evaluation to rule out malignancy. Imaging studies, such as mammography and ultrasound, are often employed to assess breast lumps and other abnormalities, guiding further management. Accurate coding requires a thorough understanding of the presenting symptoms and associated conditions, as well as the clinical context in which they occur.
Detailed history of breast symptoms, imaging results, and any biopsies performed.
Evaluation of breast lumps in patients with a family history of breast cancer.
Need for clear differentiation between benign and malignant findings.
Comprehensive imaging reports detailing findings and recommendations.
Follow-up imaging for previously identified breast abnormalities.
Accurate coding based on imaging findings is crucial for reimbursement.
Used for screening or diagnostic evaluation of breast symptoms.
Must include indication for the study and findings.
Radiologists should ensure that findings correlate with clinical symptoms.
N64.5 includes symptoms such as breast lumps, nipple discharge, and breast pain that do not fit into more specific categories.
Differentiation typically involves clinical examination, imaging studies, and sometimes biopsy. Documentation should clearly outline findings and any follow-up actions.
