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

ICD-10 Coding for Left Breast Abscess

N61.1
N61.22

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

Also Known as:
Breast Abscess
Mammary Abscess
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Key Information: ICD-10 Coding for Left Breast Abscess

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

Use ICD-10 code N61.1 for abscess of the breast and nipple, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abscess of the breast and nipple

Billable Code
N61.1
Billable

Diagnostic Criteria

clinical:
  • • Presence of purulent drainage and positive bacterial culture.
documentation:
  • • Absence of granulomatous inflammation in histology.

Applicable To

  • • Non-granulomatous breast abscess

Important Notes

  • • Ensure documentation specifies whether the abscess is granulomatous to avoid incorrect coding.

Granulomatous mastitis, left breast

Billable Code
N61.22
Billable

Diagnostic Criteria

clinical:
  • • Biopsy showing granulomatous inflammation
  • • Negative bacterial cultures

Applicable To

  • • Granulomatous inflammation with abscess

Important Notes

  • • Ensure histological confirmation of granulomas before using this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.6

Staphylococcus aureus as the cause of diseases classified elsewhere

Use when Staphylococcus aureus is identified as the causative organism.

Frequently Asked Questions

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

The ICD-10 code for a non-granulomatous left breast abscess is N61.1, although it does not specify laterality. For granulomatous mastitis with abscess, use N61.22.

How do you document a left breast abscess?

Document the abscess's location, size, and confirmation via imaging. Include culture results if available to identify the causative organism.

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