BREAST MASS DISCOVERED WITH CT SCAN UPDATE The breast cancer specialist and her PA both agree it's probably cancer, about 90% sure Will get scheduled for a mammogram and biopsy, ASAP Not smooth, like my gyn/onc told me, but irregular, vertical, 1/2", but movable No indications in lymph nodes, but will check those as well 0 #4 Breast quadrants According to SuperCodercom "The correct codes for the 12 o'clock position breast mass are N6322 and N6321 or N6311 and N6312 as per laterality mentioned in document" Another post from from terrilynnlogan@gmailcom states "There was a WPS call back on Jan 10th where this issue was addressedThree hypoechoic nodules at 3 o'clock position measures about 24 x 10 mm, 10 x 3 mm and 7 x 4 mm (d)with no internal vascularity in Doppler exam (not shown) (Figure 2) ImpressionCase 2 Abovedescribed finding representing bilateral breast fibro adenomas BIRADS 3
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Left breast cancer 9 o'clock position icd 10
Left breast cancer 9 o'clock position icd 10- Tumor size is an important factor in breast cancer staging, and it can affect a person's treatment options and outlook Tumors are likely to be smaller when doctors detect them early, which can3 o'clock position (right breast) is towards the middle of your chest3 o'clock position (left breast ) is towards your armpitHope I've been helpfulRegards Comment japdip Breast cancer is not an inevitability From what you eat and drink to how much you exercise, learn what you can do to slash your risk
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The second most common type of breast cancer is invasive lobular carcinoma, which accounts for 5%–10% of all malignant breast tumors (, 10) Bilateral craniocaudal mammograms reveal a focal asymmetric density at the 12 o'clock position in the right breast (arrow) Additional mammography and US were performed due to suspected occult When the breast is lifted up to position it on the image receptor, the tissue along the periphery of the breast should be palpated and additional special views of any thickening or mass that would not be imaged on the routine twoview mammogram should be obtained 30° Superolateralto 60° MediolateralThere is on benign appearing solid lesion at 10 o'clock position in the (R) breast measuring from the nipple This is stable since the previous study In the (L) breast, there is a solid lesion at 4 o'clock position, 5 cm from the nipple It has microlobulated margins and
ICD 10 AM Edition Eleventh Edition Query Number 3598 In the Eleventh Edition Education slides Neoplasms, there is a diagram with clock positions with an example of documentation of a breast lesion at 6 o'clock coded to C508 Overlapping lesion of breast VICC #3107 Breast Quadrants and neoplasm codes advises to use a diagram as a reference to assistMammogram Circumscribed mass in the lower inner left breast which persists on spot compression views (not shown) Ultrasound Echogenic solid mass with marked vascular flow on color Doppler imaging at 8 o'clock 10 cm from the nipple measuring 6 x 4 x 6 mm, corresponding to the site of the mammographic massCase Discussion MACROSCOPIC DESCRIPTION "Left breast 1 o'clock, 7cm FN" Four cores 30mm in total length A1 MICROSCOPIC DESCRIPTION Sections show multiple cores of breast parenchyma which shows an invasive carcinoma with morphological features in keeping with a BRE grade 2 tumor DIAGNOSIS Left breast 1 o'clock 7cm FN Invasive carcinoma NST
With premenopausal breast cancer Digital mammography shows area of calcifications Magnification views demonstrate intraductal pleomorphic microcalcifications in the right 11 o'clock area Final diagnosis indicated intraductal carcinoma in situ D0511 Intraductal carcinoma in situ of right breast Malignant neoplasm of upperouter quadrant of right female breast 16 17 18 19 21 Billable/Specific Code C is a billable/specific ICD10CM code On physical exam, a 10mm mass was palpated in the left breast at the 10 o'clock position, medial to the areola A screening mammogram performed four months earlier demonstrated scattered fibroglandular densities bilaterally with mild stable architectural distortion in the right retroareolar region at the site of prior benign lumpectomy, and bilateral benign
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November last year a lump was discovered on my left breast at the 9 o'clock position Had it biopsied and it was determined to be fat necrosis Three weeks ago I found what seems to be a hard lump around the 9 o'clock position I had a follow up Manmo and ultrasound in may of this year and nothing showedThe following classification is recommended by the National Breast Cancer Centre and endorsed by the Royal Australian and New Zealand College of Radiologists1 Figure 6c Ultrasound confirms an irregular mass lesion with indistinct margins at the 12 o'clock position, 100 mm from the nipple Hyperechoic foci within the lesion Clock face description of breast lesion locations The clock face location of breast findings is described by imaging a clock on both the left and the right breast as the woman faces the examiner Note that the outer portion of the breast on the right is at the 9o'clock position and the outer portion on the left is at the 3o'clock position
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Fig 61 At the 12 o'clock position of the left breast and the 3 o'clock position of the right breast, there are two oval masses (arrows) The spot compression views demonstrate that the margins of the right mass are well defined, and the margins of the left mass are ill defined (A) Right MLO mammogram (B) Left MLO mammogramIn T1b, the tumor size is greater than 5 mm, but less than or equal to 10 mm T1a and T1b breast cancers without lymph node spread have excellent longterm outcomes, with more than 95% of women alive at 10 yearsFamily history should note breast cancer in a 1stdegree relative (mother, sister, daughter) and, if family history is positive, whether the relative carried one of the inherited gene mutations that predispose to breast cancer (eg, BRCA1, BRC) Physical examination
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The margin is irregular Another three hypoechoic nodules noted at 8 and 10 o'clock position of right breast and behind the nipple (05 x 07 cm, 05 x 05 cm and 17 x 18 cm) A right axillary node is also seen, 09 x 08 cm Impression Findings in keeping with Ca breast In T1a breast cancer, the tumor size is less than or equal to 5 millimeters (mm); The imaging of the right breast is normal ( not shown ) The left breast demonstrates a 1cm isodense oval mass in the posterior depth of the left breast at the 6 to 7 o'clock location, 10 cm from the nipple ( Fig 708, Fig 709, Fig 7010 ) A fatty hilum is suggested on the lateromedial (LM) spotcompression digital breast tomosynthesis
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Posterior breast cancer mammographic and ultrasonographic features Vojnosanit Pregl 13 Nov;70(11) doi /vspj Authors Ana Janković 1Code C509 (Breast, NOS) in this situation Code the primary site to C508 when • there is a single tumor in two or more subsites and the subsite in which the tumor originated is unknown • there is a single tumor located at the 12, 3, 6, or 9 o'clock position on the breastThere is a 7mm hypoechoic nodule with shadowing at the 10 o'clock position of the right breast The biopsy sampling of the ill defined opacity in the upper outer right breast on mammography Also, biopsy of the 7mm hypoechoic solid nodule at the 10 o'clock position in the right breast, only seen with sonography Birads category 4
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Code C509 (Breast, NOS) in this situation Code the primary site to C508 when O'Clock Positions and Codes Quadrants of Breasts 2 11 12 1 1 10 9 8 7 7 6 5 4 3 2 11 12 10 6 5 3 RIGHT BREAST LEF T BREAST UOQ UIQ UIQ UOQ LOQ LIQ LIQ LOQ C504 Given this guidance, a 12 o'clock right breast mass can be reported as ICD10 code N6315, Unspecified lump in right breast, overlapping quadrants, or as dual ICD10 codes for overlapping quadrants, N6311, Unspecified lump in the right breast, upper outer quadrant, and N6312, Unspecified lump in the right breast, upper inner quadrantCode C509 (Breast, NOS) in this situation O'Clock Positions and Codes Quadrants of Breasts 2 11 12 1 1 10 9 8 7 6 5 7 4 3 2 11 12 10 6 5 4 3 RIGHT BREAST LEF T BREAST UOQ UIQ UIQ UOQ LOQ LIQ LIQ LOQ C504 C502 C502 C504 C505 C503 C505 C503 C500 C501
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One lump was aspirated (upper inner right breast marked by arrows in A and B), yielding malignant cytology (D) Repeat ultrasonography of the known malignant mass in the right breast at 2o'clock position shows it to be indistinctly marginated and lobulated both without and (E) with spatial compounding Any lesion documented on Breast cancer, ultrasonography Mediolateral oblique digital mammogram of the right breast in a 66yearold woman with a new, opaque, irregular mass approximately 1 cm in diameter The mass has spiculated margins in the middle third of the right breast at the 10o'clock positionThe outer left breast is at 3 o'clock and the outer right breast is at 9 o'clock In the left breast the upper outer quadrant is between 12 and 3 o'clock The radiologist will also describe the size and location of a finding by indicating the distance from the nipple in centimeters
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Pathology The most common cause for an asymmetry on screening mammography is superimposition of normal breast tissue (summation artifact) 6Asymmetries that are subsequently confirmed to be a real lesion may represent a focal asymmetry or mass, for which it is important to further evaluate to exclude breast cancer 5Developing asymmetries are sufficiently suspiciousABUS detected a right breast irregular hypoechoic mass with angular margins and posterior acoustic shadowing at the 1030 o'clock position, measuring 15 x 16 x 11 cm, 7 cm from the nipple Dedicated handheld ultrasound confirmed the mass A core biopsy was performed and detected invasive moderately differentiated ductal carcinoma On 14 March 14, WF had an ultrasound of her breasts "There is a 17 mm x 96 mm lesion at 2 o'clock position of left breast, 4 cm from the nipple" A FNAC (Fine needle aspiration cytology) done in a Taiping private hospital showed "benign breast
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Lumpectomy (lumPEKtuhme) is surgery to remove cancer or other abnormal tissue from your breast If cysts are present on mammogram, they are definitely not cancer If the radiologist think the mass may be solid, because of the shape and the ultrasound results, then it might need a biopsy The breast mammogram in the image, certainly appears to have a nodule of some sort, but since it may or may not be a real nodule, one could label it as an 'asymmetric density' or a10 o'clock position on mammogram MedGen UID Trastuzumab for small HER2 breast cancer small tumor, big decision Connolly RM, Bardia A Oncologist 12;17(4) Epub 12 Apr 4 doi /theoncologist1077 PMID Free PMC Article
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In the left breast, the nerve generally exits the chest wall at the lateral border of the pectoralis minor, enters the posteriorlateral surface of breast at approximately the 4 o'clock position, and then traverses the glandular tissue to the inner areola along the 5 o'clock axis In the right breast, the nerve generally enters theLisa Jacobs, MD, Johns Hopkins breast cancer surgeon, and Eniola Oluyemi, MD, Johns Hopkins Community Breast Imaging radiologist, receive many questions about how to interpret common findings on a mammogram reportThe intent of the report is a communication between the doctor who interprets your mammogram and your primary care doctor However, this report is often I had a core biopsy on my breast this past Monday They called me with the results that I have a low grade Phyllodes tumor at the 12 o'clock position on my left breast I have been having other issues before the lump showed up two weeks ago I feel very tired, pain in my kidney position on both sides with no explanation, and now this lump with
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Breast cancer, ultrasonography The patient in Images 2628 also had a 7mmdiameter cyst at the 10o'clock position in the right breast My tumour was located at the 12o'clock position in my right breast Given the size and solid shape of the mass, my surgeon performed a lumpectomy The breast cancer surgery process often includes a sentinel lymph node biopsy (SLNB) (FCKING OUCH), where a chain of nodes are removed to test for cancer spread within the lymphatic system• there is a single tumor located at the 12, 3, 6, or 9 o'clock position on the breast Code the primary site to C509 when there are multiple tumors (two or more) in at least two quadrants of the breast Laterality Laterality must be coded for all subsites
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O'Clock Positions and Codes Quadrants of Breasts 2 11 12 1 1 10 9 8 7 7 6 5 5 4 3 2 11 12 10 6 4 RIGHT BREAST LEF T BREAST UOQUIQ LOQ LIQ LIQ LOQ C502 C504 C502 C504 C505 C503 C503 C500 C501 SEER Program Coding and Staging Manual 07 C606 SiteSpecific Coding Modules Appendix C Abstract BACKGROUND Metaplastic carcinoma is a rare form of breast carcinoma that often is confused with other benign and malignant entities The diagnosis can be difficult to establish on both a cIn Breast Cancer ICD 9 diagnosis codes, there are no specific codes for the specific location of the breast cancer For example, ICD 9 Code 1742 for malignant neoplasm of upperinner quadrant of the female breast includes cancer on the right and/or left breast In Breast Cancer ICD 10 diagnosis codes, the positions of the cancer are specified
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The right breast was normal to palpation Mammography revealed a solid, smooth nodule in the upper internal quadrant of the left breast (Fig 1) Ultrasound demonstrated an oval mass in the 10o'clock position of the left breast measuring 15×10 mm (Fig 2)Breast Cancer ICD10 Code Reference Sheet FEMALE Right C Malignant neoplasm of nipple and areola, right female breast C Malignant neoplasm of central portion, right female breast C Malignant neoplasm of upperinner quadrant, right female breast In the left breast there are two adjacent oval solid lesions measuring 5 and 65mm in diameter present in the 2 o'clock position In the 7 o'clock position there is a larger oval lesion measuring 10 x 5mm The appearance of each of the three lesions within the left breast is consistent, but not diagnostic of fibroadenoma
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