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ICD-10 Coding for Lumpectomy(C50.911, C50.0, C50.9)

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Comprehensive guide on ICD-10 coding for lumpectomy, including documentation requirements, coding pitfalls, and billing considerations.

Also known as:
Partial MastectomyBreast-Conserving Surgery
Related ICD-10 Code Ranges

Complete code families applicable to Lumpectomy

C00-D49Primary Range

Neoplasms

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Primary ICD-10-CM Codes
Malignant neoplasm of unspecified site of right female breast
C50.911Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Benign neoplasm of breastD24.1

Use for benign breast lesions without oncologic intent.

Documentation & Coding Risks

Avoid these common issues when documenting Lumpectomy.

Omitting margin documentation

Impact

Clinical: Inadequate treatment documentation, Regulatory: Non-compliance with surgical standards, Financial: Potential claim denials

Mitigation

Use standardized templates, Verify margin details before submission

Coding lumpectomy for benign lesions

Impact

Reimbursement: Incorrect billing leading to denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data reporting

Mitigation

Use code 19120 for benign lesions without oncologic intent.

Margin documentation

Impact

Failure to document margin status can trigger audits.

Mitigation

Implement mandatory margin documentation protocols.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with C50.911.