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Home/Diagnosis/ICD-10 Coding for Breast Exam

ICD-10 Coding for Breast Exam

C50.911
N63.0

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

Also Known as:
Mammogram
Clinical Breast Examination
CBE
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Key Information: ICD-10 Coding for Breast Exam

Essential facts and insights about ICD-10 Coding for Breast Exam

Use ICD-10 code C50.911 for malignant neoplasm of unspecified site of right female breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of unspecified site of right female breast

Billable Code
C50.911
Billable

Diagnostic Criteria

  • • Confirmed diagnosis of breast cancer in the right breast

Applicable To

  • • Breast cancer, female, right

Important Notes

  • • Ensure laterality is specified when possible.

Unspecified lump in unspecified breast

Billable Code
N63.0
Billable

Diagnostic Criteria

  • • Physical examination finding of a lump in the breast

Applicable To

  • • Breast lump, NOS

Important Notes

  • • Consider further diagnostic workup to specify the lump.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z85.3

Personal history of malignant neoplasm of breast

Use to indicate a history of breast cancer.

Frequently Asked Questions

What is the ICD-10 code for a breast exam?

The ICD-10 code for a routine screening mammogram is Z12.31, while diagnostic exams may use codes like N63.0 for unspecified breast lumps.

How do you code a diagnostic mammogram?

For a diagnostic mammogram, use CPT code 77065 for unilateral exams and 77066 for bilateral exams, with appropriate ICD-10 codes for findings.

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