Galactocele

This code describes a benign, milk-filled cyst that typically develops in the breast, most commonly during or after lactation. It results from an obstructed milk duct, leading to the accumulation of milk and cellular debris within the ductal system. Galactoceles are usually palpable, mobile, and non-tender masses.

Use this code when documentation clearly indicates the presence of a galactocele, often identified during a breast examination or imaging studies (e.g., ultrasound). This diagnosis is frequently seen in postpartum or lactating women, or those who have recently stopped breastfeeding. Supporting documentation should confirm the cystic nature and milk content, if aspirated.

• Differentiate from other breast cysts (e.g., fibrocystic changes) which may have different ICD-9 codes.
• Ensure the documentation specifies "galactocele" to avoid confusion with other benign breast conditions.
• Consider any associated symptoms or complications, such as infection, which may require additional codes.