N6313 - A lump or mass found in the lower outer area of the right breast that needs further evaluation
International Classification of Diseases
What is a ICD-10 Code?
ICD-10 (International Classification of Diseases, 10th Revision) codes are used to classify and code all diagnoses, symptoms, and procedures recorded in association with hospital care. These codes provide a standardized way to track health conditions and their treatment outcomes.
Detailed Description
This code indicates that a healthcare provider has identified a lump or mass in a specific area of your right breast - the lower outer quadrant (the bottom outer section when looking at the breast). The term 'unspecified' means that at this point, the exact nature of the lump hasn't been determined yet. This could be anything from a benign (non-cancerous) cyst or fibroadenoma to other types of breast tissue changes. The ultrasound procedure mentioned in your claim is a common next step to get a better look at the lump and help determine what it might be. Most breast lumps turn out to be benign, but any new lump should be properly evaluated by a healthcare professional.
Additional Information
This is a diagnostic code used when a breast lump is detected but hasn't been fully characterized yet. The ultrasound procedure will help provide more information about the nature of the lump. Most breast lumps are benign, but proper evaluation is important for peace of mind and appropriate care.
Category
Breast and reproductive health
Medical Specialty
Gynecology, Oncology, or Primary Care
Expected Costs
We expect this to normally be in the range of:
$200 - $800
This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Physical breast examination
- Medical history review
What to Expect After
- Imaging results review
- Possible biopsy if indicated
- Follow-up appointment to discuss findings
- Regular breast monitoring
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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