ICD-10-CM Code D48.6

Neoplasm of uncertain behavior of breast

Version 2020 Non-Billable Code Neoplasm Uncertain Behavior

Not Valid for Submission

D48.6 is a "header" nonspecific and non-billable 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 valid for the year 2020 for the submission of HIPAA-covered transactions.

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

Consider the following ICD-10 codes with a higher level of specificity:

  • D48.60 - Neoplasm of uncertain behavior of unspecified breast
  • D48.61 - Neoplasm of uncertain behavior of right breast
  • D48.62 - 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 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.
  • Neoplasm of uncertain behavior of connective tissue of breast
  • Cystosarcoma phyllodes

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.
  • neoplasm of uncertain behavior of skin of breast D48.5

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:

  • - Tumor - See Also: Neoplasm, unspecified behavior, by site;

Code Classification

  • Neoplasms (C00–D48)
    • Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
      • Neoplasm of uncertain behavior of other and unsp sites (D48)

Code History

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

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
»areola
C50.0C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
C50.9C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »areola
C50.0C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »axillary tail
C50.6C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »central portion
C50.1C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »inner
C50.8C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »lower
C50.8C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »lower-inner quadrant
C50.3C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »lower-outer quadrant
C50.5C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »midline
C50.8C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »nipple
C50.0C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »outer
C50.8C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »tail (axillary)
C50.6C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »upper
C50.8C79.81D05.D24.D48.6D49.3
»breast (connective tissue) (glandular tissue) (soft parts)
  »upper-inner quadrant
C50.2C79.81D05.D24.D48.6D49.3
»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

  • 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

NIH: National Cancer Institute


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