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Unspecified lump in the left breast, unspecified quadrant

ICD10CM code

Name of the Condition

  • Unspecified Lump in the Left Breast, Unspecified Quadrant
  • Medical Term: Nodule or Mass in the Left Mammary Gland

Summary

A lump in the left breast, classified under ICD code N63.20, refers to a palpable mass or nodule of uncertain nature or origin located in the breast tissues. This lump's quadrant—specific location within the breast—is not identified, necessitating further examination.

Causes

  • Hormonal changes
  • Benign breast conditions (e.g., fibrocystic changes, fibroadenomas)
  • Malignancy (breast cancer)
  • Trauma or injury

Risk Factors

  • Female gender
  • Advanced age
  • Hormonal therapy use
  • Family history of breast cancer
  • Personal history of breast lumps or breast disease

Symptoms

  • Presence of a palpable lump or mass
  • Changes in breast size or shape
  • Nipple discharge
  • Skin changes over the breast, such as dimpling

Diagnosis

  • Physical examination by a healthcare provider
  • Imaging tests such as mammograms or ultrasounds
  • Biopsy to examine the tissue and determine the nature of the lump

Treatment Options

  • Observation and regular monitoring for benign lumps
  • Surgical removal (lumpectomy) if necessary
  • Chemotherapy, radiation, or hormonal therapy for malignant lumps

Prognosis and Follow-Up

  • Small, benign lumps usually have a good prognosis with minimal risk.
  • Malignant lumps require more aggressive treatment and follow-up.
  • Regular check-ups and imaging are essential to monitor changes or recurrence.

Complications

  • Potential progression of underlying malignant tumors
  • Anxiety and cosmetic concerns regarding breast appearance

Lifestyle & Prevention

  • Regular self-examinations and awareness of breast changes
  • Maintaining a healthy weight and balanced diet
  • Limiting alcohol consumption and avoiding smoking

When to Seek Professional Help

  • Rapidly growing or painful breast lumps
  • Any new lump or mass in the breast
  • Nipple changes or unusual discharge

Additional Resources

  • American Cancer Society (cancer.org)
  • Breastcancer.org
  • National Breast Cancer Foundation (nationalbreastcancer.org)

Tips for Medical Coders

  • Ensure correct laterality: This code specifies the left breast.
  • Be cautious of unspecified quadrants; further details may refine diagnosis.
  • Differentiate between benign and malignant codes if the nature of the lump is confirmed.

Medical Policies and Guidelines for Unspecified lump in the left breast, unspecified quadrant

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