ICD Code C50.411

ICD code C50.411 is a medical classification used to specify a malignant (cancerous) tumor located in the upper-outer quadrant of the right breast in females. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to accurately document and report diagnoses for billing and statistical purposes.

1. Presence of a Malignant Tumor: Confirm the presence of a malignant neoplasm in the breast tissue through diagnostic imaging or biopsy.

2. Location Specificity: Identify that the tumor is located in the upper-outer quadrant of the breast. This is crucial for accurate coding and treatment planning.

3. Laterality: Determine that the affected breast is the right breast. This specificity is important for surgical planning and treatment.

4. Histopathological Confirmation: Obtain a histopathological report confirming the malignancy of the neoplasm. This may include details such as the type of cancer cells present.

5. Clinical Examination: Conduct a thorough clinical examination to assess the size, mobility, and any associated symptoms of the tumor, such as skin changes or nipple discharge.

6. Patient Demographics: Confirm that the patient is female, as this code is specific to female breast cancer.

7. Symptom Assessment: Evaluate any symptoms that may be associated with the neoplasm, such as pain, swelling, or changes in breast shape or size.

8. Staging and Grading: Determine the stage and grade of the cancer, which may influence treatment decisions and prognosis.

9. Family and Medical History: Review the patient's family and medical history for any genetic predispositions or previous breast conditions that may impact diagnosis and treatment.

10. Multidisciplinary Review: Engage in a multidisciplinary review with oncologists, radiologists, and pathologists to confirm the diagnosis and plan the appropriate course of treatment.

For the ICD code C50.411, which pertains to a specific condition, the relevant CPT codes that may be applicable for treatment or procedures include:

1. 19120 - Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion; open, one or more lesions.

2. 19301 - Mastectomy, partial (e.g., lumpectomy, tylectomy, quadrantectomy, segmentectomy).

3. 19302 - Mastectomy, partial (e.g., lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy.

4. 38525 - Biopsy or excision of lymph node(s); open, deep axillary node(s).

5. 38792 - Injection procedure; for identification of sentinel node.

6. 19260 - Mastectomy, partial (e.g., lumpectomy, tylectomy, quadrantectomy, segmentectomy); with resection of contiguous axillary tissue.

7. 19281 - Placement of breast localization device(s) (e.g., clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance.

8. 19282 - Placement of breast localization device(s) (e.g., clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance.

These CPT codes are examples of procedures that may be considered for the treatment of the condition associated with ICD code C50.411. It is important for healthcare providers to select the appropriate CPT code based on the specific clinical scenario and the procedures performed.

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