ICD-10 Coding for Fibroadenoma(D24.1, D24.2)
Complete ICD-10-CM coding and documentation guide for Fibroadenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fibroadenoma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D24.1 | Benign neoplasm of right breast | Use when fibroadenoma is confirmed by pathology in the right breast. |
|
| D24.2 | Benign neoplasm of left breast | Use when fibroadenoma is confirmed by pathology in the left breast. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for fibroadenoma
Essential facts and insights about Fibroadenoma
Primary ICD-10-CM Codes for fibroadenoma
Decision Criteria
clinical Criteria
- Confirmed fibroadenoma via biopsy
documentation Criteria
- Pathology report specifies fibroadenoma
Applicable To
- Fibroadenoma of right breast
Excludes
- Fibroadenosis (N60.2)
Clinical Validation Requirements
- Pathology report confirming fibroadenoma
- Imaging showing well-circumscribed mass
Code-Specific Risks
- Incorrectly coding suspected fibroadenoma without confirmation
Coding Notes
- Ensure pathology confirmation before using D24.1.
D24.2 - Benign neoplasm of left breast
Use when fibroadenoma is confirmed by pathology in the left breast.
Applicable To
- Fibroadenoma of left breast
Excludes
- Fibroadenosis (N60.2)
Clinical Validation Requirements
- Pathology report confirming fibroadenoma
- Imaging showing well-circumscribed mass
Coding Notes
Ensure pathology confirmation before using D24.2.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fibroadenosis
N60.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fibroadenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D24.1.
Impact
Clinical: Leads to potential misdiagnosis., Regulatory: Non-compliance with coding guidelines., Financial: Incorrect billing and potential denials.
Mitigation Strategy
Await pathology confirmation before coding.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Potential for audit due to coding errors., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use symptom codes like R92.0/R92.1 until confirmation.
Impact
Coding fibroadenoma without confirmation can lead to audits.
Mitigation Strategy
Ensure pathology confirmation before coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fibroadenoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fibroadenoma
Use these documentation templates to ensure complete and accurate documentation for Fibroadenoma. These templates include all required elements for proper coding and billing.
Confirmed fibroadenoma via biopsy
Specialty: PathologyRequired Elements
- Mass location and size
- Pathology findings
- Confirmation of fibroadenoma
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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