ICD-10 Code D24.2 | Benign neoplasm of left breast Symptoms, Diagnosis, Billing

Benign neoplasm of the left breast refers to a non-cancerous tumor that arises from the breast tissue. These neoplasms can vary in size and may present as palpable masses. Accurate coding with ICD-10 Code D24.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and monitor this condition.

What is ICD-10 Code D24.2 for Benign neoplasm of left breast?

ICD-10 Code D24.2 specifically denotes a benign neoplasm located in the left breast. This code is utilized when documenting cases of non-cancerous breast tumors, which may require monitoring or surgical intervention. It is crucial for accurate clinical documentation and billing, ensuring that healthcare providers can track treatment outcomes and resource utilization.

ICD-10 Code D24.2 – Clinical Definition and Explanation of Benign neoplasm of left breast

Benign neoplasms of the left breast are typically characterized by abnormal growths that do not invade surrounding tissues or metastasize. These tumors may arise from various breast tissues and can be influenced by hormonal factors. While benign, they may require medical evaluation to rule out malignancy and to determine appropriate management.

Key Clinical Features:

• Palpable mass in the left breast, often discovered during self-examination or clinical evaluation.
• May present with associated symptoms such as tenderness or changes in breast shape.
• Typically diagnosed through imaging studies such as mammography or ultrasound.
• Histological examination may be required to confirm the benign nature of the neoplasm.

ICD-10 Code D24.2 for Benign neoplasm of left breast – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code D24.2 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code aids in the organization of patient data, ensuring that both acute and chronic care settings can effectively track the management of benign breast neoplasms.

What Does ICD-10 Code D24.2 for Benign neoplasm of left breast Mean in SOAP Notes?

ICD-10 Code D24.2 serves as a formal diagnosis in SOAP notes, linking subjective patient-reported symptoms and objective clinical findings. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.

Treatment Options for ICD-10 Code D24.2 – Benign neoplasm of left breast

Management of benign neoplasms of the left breast may vary based on the size and symptoms of the tumor. While surgical intervention is often the primary treatment, supportive care is also important.

Antibiotic Therapy:

Supportive Care:

• Regular monitoring through clinical follow-up and imaging.
• Patient education regarding self-examination techniques.
• Pain management strategies if tenderness is present.

Infection Control:

How to Document Symptoms of Benign neoplasm of left breast (ICD-10 D24.2) in SOAP Notes

Subjective:

• Patient reports a palpable mass in the left breast.
• Complaints of tenderness in the left breast area.
• No history of breast cancer or significant family history.
• Denies any recent changes in breast appearance or discharge.

Objective:

• Physical examination reveals a firm, non-mobile mass in the left breast.
• Mammography shows a well-defined mass without suspicious features.
• Ultrasound confirms the presence of a solid mass in the left breast.
• No lymphadenopathy noted in axillary regions.

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SOAP Note Guidelines for Diagnosing Benign neoplasm of left breast (ICD-10 Code D24.2)

Assessment:

• Diagnosis of benign neoplasm of left breast (ICD-10 D24.2).
• No evidence of malignancy based on imaging and clinical evaluation.
• Patient's age and hormonal factors may contribute to the condition.
• Regular follow-up recommended to monitor for changes.

Plan:

• Consider surgical excision if the mass is symptomatic or enlarging.
• Educate the patient on self-monitoring techniques.
• Schedule follow-up imaging in 6 months to reassess the mass.
• Document findings and treatment plan in the patient's EHR.

Treatment & Plan Section for ICD-10 Code D24.2 – Benign neoplasm of left breast

• Surgical excision is the primary treatment for symptomatic or enlarging masses.
• Regular follow-up appointments to monitor the neoplasm's status.
• Patient education on breast health and self-examination.
• Consider referral to a specialist if the mass changes or symptoms worsen.

Using ICD-10 Code D24.2 for Benign neoplasm of left breast in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D24.2 in billing to reflect the diagnosis and support reimbursement.
• Maintain compliance with coding guidelines to avoid claim denials.
• Document any related procedures or treatments to justify billing.

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

• D24.1 – Benign neoplasm of right breast
• D25.9 – Uterine leiomyoma, unspecified

ICD-10 Code D24.2 in Medical Billing and Insurance for Benign neoplasm of left breast

ICD-10 Code D24.2 is crucial in medical billing, particularly in hospital and outpatient settings, to ensure accurate reimbursement for services related to benign breast neoplasms.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the use of D24.2.
• Ensure that the diagnosis aligns with the services billed to avoid claim denials.
• Use D24.2 in conjunction with procedure codes for surgical interventions.

Common CPT Pairings: