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Home/Diagnosis/ICD-10 Coding for Cystic Mastopathy

ICD-10 Coding for Cystic Mastopathy

N60.11
N60.12
N60.19

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

Also Known as:
Fibrocystic Breast Changes
Diffuse Cystic Mastopathy
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Key Information: ICD-10 Coding for Cystic Mastopathy

Essential facts and insights about ICD-10 Coding for Cystic Mastopathy

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

Primary ICD-10-CM Codes

Diffuse cystic mastopathy of right breast

Billable Code
N60.11
Billable

Diagnostic Criteria

clinical:
  • • Presence of multiple cysts in the right breast confirmed by imaging
documentation:
  • • Documentation specifies 'diffuse cystic mastopathy of right breast'

Applicable To

  • • Diffuse cystic changes in the right breast

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Diffuse cystic mastopathy of left breast

Billable Code
N60.12
Billable

Applicable To

  • • Diffuse cystic changes in the left breast

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Diffuse cystic mastopathy of unspecified breast

Billable Code
N60.19
Billable

Applicable To

  • • Diffuse cystic changes in an unspecified breast

Important Notes

  • • Query provider for laterality to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

76641

Breast ultrasound

Use for imaging to confirm cystic vs. solid lesions.

77065

Diagnostic mammogram

Use to rule out malignancy or other breast pathology.

Frequently Asked Questions

How do you code cystic mastopathy in ICD-10?

Cystic mastopathy is coded using N60.11 for the right breast, N60.12 for the left breast, and N60.19 if laterality is unspecified.

What is the difference between N60.11 and N60.12?

N60.11 is used for diffuse cystic mastopathy of the right breast, while N60.12 is for the left breast.

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