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Home/Diagnosis/ICD-10 Coding for Breast Lump Left

ICD-10 Coding for Breast Lump Left

N63.21
N63.20

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

Also Known as:
Left Breast Mass
Palpable Mass in Left Breast
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Key Information: ICD-10 Coding for Breast Lump Left

Essential facts and insights about ICD-10 Coding for Breast Lump Left

Use ICD-10 code N63.21 for unspecified lump in the left breast, upper outer quadrant, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified lump in the left breast, upper outer quadrant

Billable Code
N63.21
Billable

Diagnostic Criteria

  • • Lump located at 9-12 o'clock on the left breast

Applicable To

  • • Lump in left breast upper outer quadrant

Important Notes

  • • Ensure accurate documentation of the lump's location using quadrant or clock position.

Unspecified lump in the left breast, unspecified quadrant

Billable Code
N63.20
Billable

Applicable To

  • • Lump in left breast without specific quadrant

Important Notes

  • • Encourage providers to specify the quadrant for more accurate coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

R92.2

Inconclusive mammogram

Use when imaging results are inconclusive and further investigation is required.

Frequently Asked Questions

What is the ICD-10 code for a lump in the left breast?

The ICD-10 code for an unspecified lump in the left breast, upper outer quadrant is N63.21. Use N63.20 if the quadrant is unspecified.

How do you document a breast lump?

Document the lump's location using quadrant or clock position, size, consistency, and any imaging results to ensure accurate coding.

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