tci General Surgery Coding Alert - 2023 Issue Q4

Reader Questions: Code Neoplasm Based On Specific Location

Question: Our surgeon performed a breast biopsy from the “central portion” of the breast. For ICD-10-CM code C50.1-, what constitutes the “central portion” of the breast? Is there guidance on how far outside the nipple or areolar region can still be considered the central portion of the breast? Maine Subscriber Answer: ICD-10-CM code C50.1- (Malignant neoplasm of central portion of breast) is reserved for reporting a malignant neoplasm located centrally in the patient’s breast. The patient may experience pain in the breast or nipple, breast size and shape changes, tenderness and thickening of the...

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