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Home/Diagnosis/ICD-10 Coding for Bilateral Breast Cysts

ICD-10 Coding for Bilateral Breast Cysts

N60.11
N60.12

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral breast cysts includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Bilateral Mammary Cysts
Bilateral Breast Lumps
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Key Information: ICD-10 Coding for Bilateral Breast Cysts

Essential facts and insights about ICD-10 Coding for Bilateral Breast Cysts

Use ICD-10 code N60.11 for diffuse cystic mastopathy, right breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Diffuse cystic mastopathy, right breast

Billable Code
N60.11
Billable

Diagnostic Criteria

  • • Presence of multiple cysts in the right breast confirmed by imaging

Applicable To

  • • Diffuse cystic changes in the right breast

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Diffuse cystic mastopathy, left breast

Billable Code
N60.12
Billable

Diagnostic Criteria

  • • Presence of multiple cysts in the left breast confirmed by imaging

Applicable To

  • • Diffuse cystic changes in the left breast

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Use for screening mammograms related to breast cysts.

Frequently Asked Questions

What is the ICD-10 code for bilateral breast cysts?

The ICD-10 codes for bilateral breast cysts are N60.11 for the right breast and N60.12 for the left breast. Both codes should be used to accurately document bilateral cases.

How should bilateral breast cysts be documented?

Document each breast separately, specifying the number, size, and location of cysts, along with the BI-RADS category. This ensures accurate coding and compliance.

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