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Home/Diagnosis/ICD-10 Coding for Fibrocystic Breast Changes

ICD-10 Coding for Fibrocystic Breast Changes

N60.19
N60.11
N60.12

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

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

Essential facts and insights about ICD-10 Coding for Fibrocystic Breast Changes

Use ICD-10 code N60.19 for diffuse cystic mastopathy, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Diffuse Cystic Mastopathy, Unspecified

Billable Code
N60.19
Billable

Diagnostic Criteria

clinical:
  • • Presence of multiple cysts without epithelial proliferation
documentation:
  • • Documentation of cysts and absence of atypia

Applicable To

  • • Fibrocystic breast changes without epithelial proliferation

Important Notes

  • • Ensure laterality is specified to avoid unspecified coding.

Diffuse Cystic Mastopathy, Right Breast

Billable Code
N60.11
Billable

Applicable To

  • • Right breast fibrocystic changes

Important Notes

  • • Ensure right breast involvement is documented.

Diffuse Cystic Mastopathy, Left Breast

Billable Code
N60.12
Billable

Applicable To

  • • Left breast fibrocystic changes

Important Notes

  • • Ensure left breast involvement is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R92.2

Inconclusive Mammogram

Use when dense breast tissue obscures mammogram findings.

Frequently Asked Questions

What is the ICD-10 code for fibrocystic breast changes?

The ICD-10 code for fibrocystic breast changes without epithelial proliferation is N60.19. If laterality is specified, use N60.11 for the right breast and N60.12 for the left breast.

How do you code fibrocystic breast changes with epithelial proliferation?

For fibrocystic breast changes with epithelial proliferation, use the ICD-10 code N60.3-. This requires biopsy confirmation of epithelial proliferation.

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