Version 2024

2024 ICD-10-CM Diagnosis Code D24.1

Benign neoplasm of right breast

ICD-10-CM Code:: D24.1
ICD-10 Code for:: Benign neoplasm of right breast
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
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Code Information
Approximate Synonyms
Clinical Classification
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Neoplasms
(C00–D49)
- Benign neoplasms, except benign neuroendocrine tumors
  (D10-D36)
  - Benign neoplasm of breast
    (D24)

D24.1 is a billable diagnosis code used to specify a medical diagnosis of benign neoplasm of right breast. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Benign neoplasm of left breast
Benign neoplasm of left breast
Benign neoplasm of left breast
Benign neoplasm of left breast
Benign neoplasm of left breast
Benign neoplasm of right breast
Benign neoplasm of right breast
Benign neoplasm of right breast
Benign neoplasm of right breast
Benign neoplasm of right breast
Benign neoplasm of right breast
Benign neoplasm of right female breast
Benign phyllodes neoplasm of breast
Benign phyllodes neoplasm of breast
Benign phyllodes neoplasm of left breast
Benign phyllodes neoplasm of right breast
Benign phyllodes neoplasm of right breast
Bilateral benign neoplasm of breasts
Bilateral intraductal papilloma of breasts
Bilateral multiple fibroadenoma of breast
Bilateral phyllodes neoplasm of breasts
Duct papilloma of breast
Duct papilloma of breast
Fibroadenoma of bilateral breasts
Fibroadenoma of breast
Fibroadenoma of breast
Fibroadenoma of breast
Fibroadenoma of left breast
Fibroadenoma of left breast
Fibroadenoma of right breast
Fibroadenoma of right breast
Fibroadenoma of right breast
Intraductal papilloma of left breast
Intraductal papilloma of right breast
Intraductal papilloma of right breast
Multiple fibroadenomas of breast
Phyllodes tumor of breast
Phyllodes tumor of breast

Clinical Classification

Clinical Category is Benign neoplasms
CCSR Category Code: NEO073
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

D24.1 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
606	MINOR SKIN DISORDERS WITH MCC	09	1.5858
607	MINOR SKIN DISORDERS WITHOUT MCC	09	0.8935

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert D24.1 to ICD-9-CM

ICD-9-CM Code: 217 - Benign neoplasm breast
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Benign Tumors

Tumors are abnormal growths in your body. They can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. Benign tumors grow only in one place. They cannot spread or invade other parts of your body. Even so, they can be dangerous if they press on vital organs, such as your brain.

Tumors are made up of extra cells. Normally, cells grow and divide to form new cells as your body needs them. When cells grow old, they die, and new cells take their place. Sometimes, this process goes wrong. New cells form when your body does not need them, and old cells do not die when they should. These extra cells can divide without stopping and may form tumor.

Treatment often involves surgery. Benign tumors usually don't grow back.

NIH: National Cancer Institute

[Learn More in MedlinePlus]

Breast Diseases

Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).

If you have a breast lump, pain, discharge or skin irritation, see your health care provider. Minor and serious breast problems have similar symptoms. Although many women fear cancer, most breast problems are not cancer.

Some common breast changes are:

Fibrocystic breast changes - lumpiness, thickening and swelling, often just before a woman's period
Cysts - fluid-filled lumps
Fibroadenomas - solid, round, rubbery lumps that move easily when pushed, occurring most in younger women
Intraductal papillomas - growths similar to warts near the nipple
Blocked milk ducts
Milk production when a woman is not breastfeeding