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2025 ICD-10-CM code N61.22

Granulomatous mastitis of the left breast.

Use N61.22 when the granulomatous mastitis specifically affects the left breast. For bilateral involvement, use N61.23. Do not use this code for mastitis with abscess (N61.1) or mastitis without abscess (N61.0).

Medical necessity for treatment is established by the presence of signs and symptoms of granulomatous mastitis, confirmed by clinical findings and imaging studies. Treatment aims to resolve the inflammation and prevent complications.

Diagnosis and treatment of granulomatous mastitis are typically managed by physicians specializing in breast health, general surgery, or obstetrics and gynecology.

In simple words: Inflammation of the milk ducts in the left breast caused by a specific type of immune response.

Granulomatous mastitis, left breast

Example 1: A 35-year-old female presents with a painful lump and redness in her left breast. After examination and imaging, she is diagnosed with granulomatous mastitis., A 42-year-old female with a history of recurrent mastitis in her left breast undergoes a biopsy, revealing granulomatous inflammation., A 28-year-old female breastfeeding her infant develops a persistent lump in her left breast. Subsequent tests confirm a diagnosis of granulomatous mastitis.

Documentation should include physical examination findings, imaging results (mammogram, ultrasound, or MRI), and biopsy results if performed. Patient history, including any history of previous breast infections or autoimmune conditions, should also be noted.

** Excludes1: inflammatory carcinoma of breast (C50.9), inflammatory disorder of breast associated with childbirth (O91.-), neonatal infective mastitis (P39.0), thrombophlebitis of breast [Mondor's disease] (I80.8)

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