ICD-10 Code D24.1 | Benign neoplasm of right breast Symptoms, Diagnosis, Billing

Benign neoplasm of the right breast, classified under ICD-10 code D24.1, refers to a non-cancerous tumor that arises in the breast tissue. These neoplasms can vary in size and may present as palpable masses. Accurate coding with D24.1 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and facilitating public health reporting.

What is ICD-10 Code D24.1 for Benign neoplasm of right breast?

ICD-10 Code D24.1 specifically denotes a benign neoplasm located in the right breast. This condition is characterized by abnormal growth of breast tissue that is not malignant. The code should be utilized in clinical documentation when a patient presents with a confirmed diagnosis of a benign breast tumor, ensuring accurate billing and continuity of care.

ICD-10 Code D24.1 – Clinical Definition and Explanation of Benign neoplasm of right breast

Benign neoplasms of the right breast are typically non-invasive growths that may arise from various breast tissues. While they are not cancerous, they can cause discomfort or cosmetic concerns, necessitating medical evaluation. These neoplasms require monitoring to rule out malignancy and to manage any associated symptoms.

Key Clinical Features:

• Palpable mass in the right breast, often smooth and mobile.
• May present with tenderness or discomfort, especially if large.
• Typically diagnosed through imaging studies such as mammography or ultrasound.
• Histological examination confirms the benign nature of the tumor.

ICD-10 Code D24.1 for Benign neoplasm of right breast – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D24.1 is utilized to document the presence of a benign neoplasm in the right breast. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D24.1 for Benign neoplasm of right breast Mean in SOAP Notes?

ICD-10 Code D24.1 connects subjective patient reports and objective clinical findings to a formal diagnosis of a benign neoplasm in the right breast. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D24.1 – Benign neoplasm of right breast

Management of benign neoplasms of the right breast may involve observation or surgical intervention, depending on the size and symptoms. While these tumors are not infectious, appropriate treatment is essential for symptom relief and patient reassurance.

Antibiotic Therapy:

Supportive Care:

• Regular monitoring through clinical examinations and imaging.
• Pain management with NSAIDs as needed.
• Patient education regarding signs of changes in the tumor.

Infection Control:

How to Document Symptoms of Benign neoplasm of right breast (ICD-10 D24.1) in SOAP Notes

Subjective:

• Patient reports a palpable mass in the right breast.
• Describes tenderness in the area, especially during menstrual cycles.
• No history of breast cancer or significant family history.
• Denies any discharge or skin changes.

Objective:

• Physical examination reveals a firm, mobile mass in the right breast.
• No lymphadenopathy noted in axillary regions.
• Mammogram shows a well-defined mass consistent with a benign neoplasm.
• Ultrasound confirms the mass characteristics.

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SOAP Note Guidelines for Diagnosing Benign neoplasm of right breast (ICD-10 Code D24.1)

Assessment:

• Diagnosis: Benign neoplasm of right breast, classified as D24.1.
• Severity: Non-cancerous, stable mass.
• Contributing factors: Hormonal changes, family history.
• No evidence of malignancy based on imaging and clinical evaluation.

Plan:

• Monitor the mass with follow-up imaging in 6 months.
• Educate the patient on self-examination techniques.
• Consider surgical consultation if the mass increases in size or causes significant discomfort.
• Schedule follow-up appointment to reassess.

Treatment & Plan Section for ICD-10 Code D24.1 – Benign neoplasm of right breast

• Regular follow-up appointments to monitor the neoplasm.
• Surgical excision may be considered if symptomatic or growing.
• Patient education on breast health and self-examination.
• Referral to a specialist if there are changes in the mass.

Using ICD-10 Code D24.1 for Benign neoplasm of right breast in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D24.1 for billing when a benign breast tumor is diagnosed.
• Align treatment plans with clinical guidelines to support justified billing.
• Document any relevant patient education and follow-up plans.

Related ICD-10 Codes Often Used with Benign neoplasm of right breast

• D25.9 – Uterine leiomyoma, unspecified

ICD-10 Code D24.1 in Medical Billing and Insurance for Benign neoplasm of right breast

ICD-10 Code D24.1 is critical in medical billing, particularly in hospital and outpatient settings, to ensure accurate claims for benign breast neoplasms.

Billing Notes:

• Document all relevant clinical findings and patient history to support the diagnosis.
• Use D24.1 in conjunction with other codes as necessary for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.
• Review coding guidelines regularly to maintain compliance.

Common CPT Pairings: