ICD-10 Coding for Breast Cysts(N60.01, N60.02)
Complete ICD-10-CM coding and documentation guide for Breast Cysts. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Breast Cysts
N60-N64Primary Range
Disorders of breast
This range includes codes for various breast disorders, including cysts.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N60.01 | Solitary cyst of right breast | Use when a solitary cyst is confirmed in the right breast via imaging. |
|
| N60.02 | Solitary cyst of left breast | Use when a solitary cyst is confirmed in the left breast via imaging. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for breast cyst
Essential facts and insights about Breast Cysts
Primary ICD-10-CM Codes for breast cysts
Decision Criteria
clinical Criteria
- Presence of a solitary cyst confirmed by imaging
Applicable To
- Solitary cyst in right breast
Excludes
- Malignant neoplasm of breast (C50.-)
Clinical Validation Requirements
- Ultrasound showing anechoic, circumscribed mass
- Palpable mass correlating with imaging
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented correctly.
N60.02 - Solitary cyst of left breast
Use when a solitary cyst is confirmed in the left breast via imaging.
Applicable To
- Solitary cyst in left breast
Excludes
- Malignant neoplasm of breast (C50.-)
Clinical Validation Requirements
- Ultrasound showing anechoic, circumscribed mass
- Palpable mass correlating with imaging
Coding Notes
Ensure laterality is documented correctly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Inconclusive mammogram
R92.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Breast Cysts to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N60.01.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always verify imaging reports for laterality., Include laterality in all clinical notes.
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify imaging and documentation for correct breast side before coding.
Impact
Coding the wrong side for breast cysts can lead to audit issues.
Mitigation Strategy
Double-check imaging and clinical notes for accuracy.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Breast Cysts, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Breast Cysts
Use these documentation templates to ensure complete and accurate documentation for Breast Cysts. These templates include all required elements for proper coding and billing.
Breast cyst aspiration
Specialty: RadiologyRequired Elements
- Patient demographics
- Cyst location and size
- Procedure details
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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