Find comprehensive information on Left Lung Mass diagnosis, including clinical documentation, medical coding (ICD-10, SNOMED CT), radiology findings, and treatment options. Learn about differential diagnoses, lung cancer screening, pulmonary nodule evaluation, and best practices for healthcare professionals documenting and coding a Left Lung Mass. This resource provides guidance on accurate and compliant medical record keeping related to Left Lung Mass.
Also known as
Abnormal findings on diagnostic imaging of lung
Includes abnormal findings on imaging like X-ray or CT scan.
Malignant neoplasm of lower lobe, bronchus, or lung
Covers cancerous tumors in the lower part of the left lung.
Malignant neoplasm of unspecified part of lung
Used when the specific location in the left lung is unknown.
Benign neoplasm of bronchus and lung
Covers non-cancerous tumors in the bronchus or lung.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the left lung mass malignant?
Yes
Primary or secondary malignancy?
No
Is it benign?
When to use each related code
| Description |
|---|
| Left lung mass |
| Left lung nodule |
| Left lung cancer |
Coding left lung mass without specifying laterality can lead to inaccurate reimbursement and data analysis. Use specific ICD-10 codes.
Coding a suspected mass as confirmed without proper documentation can lead to compliance issues. Ensure diagnosis is confirmed for accurate coding.
Lack of histology information for a lung mass can hinder accurate coding and staging. Document and code the specific histology when available.
Patient presents with concerns regarding a left lung mass. Chief complaint includes persistent cough, dyspnea on exertion, and occasional hemoptysis. Symptoms onset reported approximately three months prior to this encounter. Patient denies fever, chills, or night sweats. Social history includes a 30-pack-year smoking history. Family history is significant for lung cancer in the patient's father. Physical examination reveals decreased breath sounds in the left lower lung field. Imaging studies, including a chest x-ray and subsequent CT scan of the chest with contrast, confirm the presence of a well-defined, solitary pulmonary nodule in the left lower lobe. Differential diagnosis includes lung cancer, benign pulmonary nodule, granuloma, and hamartoma. Pulmonary function tests were ordered to assess lung capacity. A referral to a pulmonologist has been made for further evaluation, including consideration for a biopsy or surgical resection to obtain a definitive diagnosis. The patient has been counseled on the importance of smoking cessation and provided with resources for support. Follow-up appointment scheduled in two weeks to discuss results and formulate a treatment plan. ICD-10 code R91.1 (abnormal findings on diagnostic imaging of lung) and CPT code 71260 (CT thorax without contrast followed by with contrast) are provisionally documented, pending final diagnosis. Medical billing codes may be updated based on pathology and procedures performed.