ICD-10 Code C50.919

C50.919 is an ICD-10-CM code that specifies “malignant neoplasm of unspecified site of unspecified female breast.” Healthcare providers and medical billers use this code, from the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM), to indicate a cancerous tumor located in the breast when neither the laterality nor the exact site within the breast is specified.

The ICD-10 code C50.919 refers to a malignant neoplasm, which is a cancerous tumor, in the female breast. The term "unspecified site" means that the medical documentation does not detail the specific location within the breast (e.g., upper-outer quadrant, lower-inner quadrant). The term “unspecified female breast” means that the medical documentation also does not specify the laterality (e.g., left or right). This code is important for coding and billing purposes, ensuring accurate representation of the patient's condition for insurance claims and medical records.

Symptoms of malignant neoplasm of the breast can vary but often include:

These symptoms warrant further diagnostic evaluation, such as mammography, ultrasound, or biopsy, to confirm the presence of a malignant neoplasm and determine the tumor’s specific characteristics.

Several ICD-10 codes are closely related to C50.919, often varying by the specified site within the breast. These include:

These codes allow for more precise documentation based on the tumor's location within the breast.

Use the code C50.919 when:

Ensure that the documentation accurately reflects all relevant clinical details. If the precise location of the tumor within the breast or laterality is known, use a more specific code to improve the accuracy of the medical record and billing process. If the patient is trans, check with payors for specific policies.

Some common pitfalls when using C50.919 include:

For accurate coding of C50.919, refer to:

These resources provide important information for accurate and compliant coding practices.

C50.919 denotes a malignant neoplasm of the unspecified site and unspecified laterality of the female breast. Proper usage of this code ensures accurate medical documentation and billing. By understanding the detailed description, symptoms, related codes, appropriate usage, common pitfalls, and key resources, healthcare providers can enhance their coding accuracy and streamline their healthcare operations. Accurate coding not only supports optimal patient care but also ensures efficient practice management and reimbursement processes.

Tebra’s EHR+ gives you quick searches and Systematized Nomenclature of Medicine (SNOMED) field names for efficient code documentation. Plus, Tebra automatically saves ICD-10 to SNOMED mapping for future searches, streamlining your workflow.

Discover how Tebra helps providers effortlessly document health-related issues and conditions in this detailed post.