2021 ICD-10-CM Code D48.6

Neoplasm of uncertain behavior of breast

Version 2021

Not Valid for Submission

D48.6 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of neoplasm of uncertain behavior of breast. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: Neoplasm, neoplastic areola ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) areola ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) axillary tail ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) central portion ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) inner ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) lower ; etc

ICD-10:D48.6
Short Description:Neoplasm of uncertain behavior of breast
Long Description:Neoplasm of uncertain behavior of breast

Code Classification

Specific Coding for Neoplasm of uncertain behavior of breast

Non-specific codes like D48.6 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for neoplasm of uncertain behavior of breast:

  • BILLABLE CODE - Use D48.60 for Neoplasm of uncertain behavior of unspecified breast
  • BILLABLE CODE - Use D48.61 for Neoplasm of uncertain behavior of right breast
  • BILLABLE CODE - Use D48.62 for Neoplasm of uncertain behavior of left breast

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D48.6:


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code D48.6 are found in the index:

Table of Neoplasms

The code D48.6 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»Neoplasm, neoplastic
  »areola
C50.0C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
C50.9C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »areola
C50.0C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »axillary tail
C50.6C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »central portion
C50.1C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »inner
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »lower
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »lower-inner quadrant
C50.3C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »lower-outer quadrant
C50.5C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »midline
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »nipple
C50.0C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »outer
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »tail (axillary)
C50.6C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »upper
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »upper-inner quadrant
C50.2C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »upper-outer quadrant
C50.4C79.81D05.D24.D48.6D49.3

Information for Patients


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

NIH: National Cancer Institute


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)