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Home/Diagnosis/ICD-10 Coding for Breast Mass

ICD-10 Coding for Breast Mass

N63
C50.911

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

Also Known as:
Breast Lump
Breast Nodule
Breast Tumor
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Key Information: ICD-10 Coding for Breast Mass

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

Use ICD-10 code N63 for unspecified lump in breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified lump in breast

Non-Billable
N63
Non-Billable

Diagnostic Criteria

documentation_criteria:
  • • Lack of specific details such as laterality or quadrant.
applicable_to:
  • • Breast lump
  • • Breast nodule
excludes:
  • • Malignant neoplasm of breast (C50.-)
  • • Benign neoplasm of breast (D24.-)
validation:
  • • Physical examination indicating a palpable mass
  • • Imaging studies such as mammogram or ultrasound
notes:
  • • Ensure documentation includes as much detail as possible to avoid using unspecified codes.
risks:
  • • Risk of under-coding if specific details are available but not documented.

Malignant neoplasm of unspecified site of right female breast

Billable Code
C50.911
Billable

Diagnostic Criteria

applicable_to:
  • • Breast cancer
excludes:
  • • Benign neoplasm of breast (D24.-)
  • • Unspecified lump in breast (N63)
validation:
  • • Pathology report confirming malignancy
  • • Imaging studies supporting a malignant process
notes:
  • • Ensure malignancy is confirmed by pathology before using this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

R92.8

Other abnormal and inconclusive findings on diagnostic imaging of breast

Use when imaging findings are abnormal but not specific to a diagnosis.

Z85.3

Personal history of malignant neoplasm of breast

Use for patients with a history of breast cancer.

Frequently Asked Questions

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

The ICD-10 code for an unspecified breast mass is N63. For confirmed malignancies, codes from the C50 range are used.

How do you code a malignant breast mass?

Use the C50 range for malignant breast masses, ensuring documentation specifies laterality and quadrant.

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