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ICD-10 Coding for Fibroadenoma of the Breast(D24.9, N60.21)

Complete ICD-10-CM coding and documentation guide for Fibroadenoma of the Breast. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Breast FibroadenomaBenign Breast Tumor

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Related ICD-10 Code Ranges

Complete code families applicable to Fibroadenoma of the Breast

D24Primary Range

Benign neoplasm of breast

This range includes codes for benign tumors of the breast, including fibroadenomas.

N60

Benign mammary dysplasias

This range includes codes for fibrocystic changes and other benign breast conditions.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
D24.9Benign neoplasm of unspecified breastUse after pathological confirmation of fibroadenoma.
  • Pathology report confirming fibroadenoma
  • Imaging findings consistent with benign characteristics
N60.21Fibroadenosis of right breastUse when fibroadenoma is suspected but not confirmed by pathology.
  • Imaging findings suggestive of fibroadenosis
  • Clinical examination indicating fibrocystic changes

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 fibroadenoma breast

Essential facts and insights about Fibroadenoma of the Breast

The ICD-10 code for a confirmed fibroadenoma of the breast is D24.9, used after pathology confirmation.

Primary ICD-10-CM Codes for fibroadenoma breast

D24.9
Benign neoplasm of unspecified breast
Billable Code

Decision Criteria

clinical Criteria

  • Pathology report confirms fibroadenoma

documentation Criteria

  • Imaging findings consistent with benign characteristics

Applicable To

  • Fibroadenoma confirmed via core biopsy

Excludes

  • Malignant neoplasm of breast (C50.-)

Clinical Validation Requirements

  • Pathology report confirming fibroadenoma
  • Imaging findings consistent with benign characteristics

Code-Specific Risks

  • Misclassification if used without pathology confirmation

Coding Notes

  • Ensure pathology confirmation before coding as D24.9.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Personal history of malignant neoplasm of breast

Z85.3
Use to indicate a history of breast cancer if applicable.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Fibroadenosis of other breast

N60.29
Use when fibroadenoma is suspected but not confirmed by pathology.

Benign neoplasm of unspecified breast

D24.9
Use D24.9 after pathological confirmation of fibroadenoma.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Fibroadenoma of the Breast to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D24.9.

Impact

Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify laterality in documentation., Use templates that prompt for laterality.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Replace with D24.9 after pathology confirmation.

Impact

Coding D24.9 without pathology confirmation.

Mitigation Strategy

Require pathology report before coding.

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 Fibroadenoma of the Breast, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Fibroadenoma of the Breast

Use these documentation templates to ensure complete and accurate documentation for Fibroadenoma of the Breast. These templates include all required elements for proper coding and billing.

Confirmed Fibroadenoma

Specialty: Radiology

Required Elements

  • Patient demographics
  • Imaging findings
  • Pathology report

Example Documentation

Patient presents with a 2 cm mass in the left breast. Ultrasound shows a well-circumscribed, oval mass. Core biopsy confirms fibroadenoma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Breast mass likely fibroadenoma.
Good Documentation Example
Core needle biopsy confirms fibroadenoma (D24.9), left breast upper outer quadrant.
Explanation
The good example includes pathology confirmation and specific location, supporting accurate coding.

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