Question:

What is the ICD-10 code to use for an unspecified lump in the right breast identified at the 9:00 position? The 9:00 position is not in one of the four quadrants nor is it in the axillary tail or subareolar locations.

Answer:

The appropriate diagnosis for unspecified lump in right breast identified at 9:00 position is N63.10 (unspecified lump in the right breast, unspecified quadrant).

Since the diagnosis codes are described by quadrant, not clock position, physicians should be asked to document by quadrant. Letting the physician know that documenting by clock position can result in denied claims should help them understand why you are requesting this reference change.


This question was answered in an edition of our Radiology Compliance Manager. For more hot topics relating to radiology services, please view our store, or call us at 1.800.252.1578 ext. 2.

Facebook
Twitter
LinkedIn
Email
Print

CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.