Localized swelling, mass and lump, neck
ICD-10 R22.1 is a billable code used to indicate a diagnosis of localized swelling, mass and lump, neck.
Localized swelling, mass, or lump in the neck can arise from various underlying conditions, ranging from benign to malignant processes. This symptom may present as a palpable mass or swelling that can be asymptomatic or associated with other symptoms such as pain, tenderness, or changes in swallowing or breathing. Common causes include lymphadenopathy due to infections (viral or bacterial), benign tumors such as lipomas or cysts, and malignancies like lymphomas or thyroid cancers. The clinical evaluation typically involves a thorough history and physical examination, imaging studies (such as ultrasound or CT scans), and possibly biopsy to determine the nature of the mass. The presence of associated symptoms, duration of the mass, and patient history are critical in guiding the diagnostic approach and management plan.
Detailed history of the mass, including onset, duration, and associated symptoms; physical examination findings; and any imaging or lab results.
Patients presenting with a neck mass during routine check-ups or with complaints of pain or discomfort.
Ensure to document any relevant past medical history, especially concerning malignancies or infections.
Acute assessment of the neck mass, including vital signs, immediate symptoms, and any interventions performed.
Patients presenting with acute swelling due to trauma, infection, or allergic reactions.
Document the urgency of the situation and any immediate treatments provided.
Used when a biopsy of the neck mass is performed.
Document the reason for the biopsy and the findings.
Ensure that the pathology report correlates with the diagnosis.
Document the size, location, characteristics of the mass, associated symptoms, duration, and any relevant imaging or lab results.
