BETA v.3.0

2025 ICD-10-CM code N61.21

Granulomatous mastitis of the right breast.

Use additional codes to identify any underlying conditions or complications associated with granulomatous mastitis.

Medical necessity for services related to granulomatous mastitis should be supported by documentation of the diagnosis and the chosen treatment plan. Justification for treatment should consider the patient's symptoms, the severity of the condition, and the potential risks and benefits of the intervention.

Diagnosis and treatment of granulomatous mastitis typically falls under the purview of general surgeons, breast surgeons, or other specialists focusing on breast health.They are responsible for confirming the diagnosis, which often involves a combination of physical examination, imaging studies (mammography, ultrasound, or MRI), and biopsy to rule out other conditions like infection or breast cancer.Treatment strategies vary depending on the severity of the condition and patient-specific factors.Options include observation, medications (such as corticosteroids or immunosuppressants), and in some cases, surgery to remove the affected tissue.

In simple words: Granulomatous mastitis is a rare condition causing inflammation in the right breast. It involves the formation of small lumps of immune cells called granulomas. This is not an infection and is not related to breastfeeding.

Granulomatous mastitis is a rare, chronic inflammatory condition affecting the breast tissue. It is characterized by the formation of granulomas, which are clusters of immune cells. This condition is not related to breastfeeding or infection.

Example 1: A 35-year-old woman presents with a painless lump in her right breast.After imaging and biopsy, the diagnosis of granulomatous mastitis is confirmed.She is initially treated with corticosteroids., A 42-year-old woman experiences recurrent inflammation and pain in her right breast.Previous treatments for mastitis have been unsuccessful.A biopsy reveals granulomatous mastitis, and she undergoes surgery to remove the affected area., A 28-year-old woman develops a firm, tender mass in her right breast several months after a minor breast injury. Imaging and biopsy confirm granulomatous mastitis. She is treated with anti-inflammatory medication, and the mass gradually resolves over several months.

Documentation should include details of the patient's symptoms, physical exam findings, imaging results (mammogram, ultrasound, MRI), biopsy results confirming the diagnosis, and any treatments provided.Details about the size, location, and characteristics of the affected breast tissue are crucial.

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