2022 ICD-10-CM Code D48.61
Neoplasm of uncertain behavior of right breast
Valid for Submission
| ICD-10: | D48.61 |
| Short Description: | Neoplasm of uncertain behavior of right breast |
| Long Description: | Neoplasm of uncertain behavior of right breast |
Code Classification
D48.61 is a billable diagnosis code used to specify a medical diagnosis of neoplasm of uncertain behavior of right breast. The code D48.61 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code D48.61 might also be used to specify conditions or terms like borderline phyllodes neoplasm of right breast, neoplasm of uncertain behavior of right breast, phyllodes tumor of breast or phyllodes tumor of breast, borderline.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Borderline phyllodes neoplasm of right breast
- Neoplasm of uncertain behavior of right breast
- Phyllodes tumor of breast
- Phyllodes tumor of breast, borderline
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code D48.61 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | 09 | 1.6416 |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | 09 | 1.5416 |
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 D48.61 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code D48.61 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 238.3 - Unc behav neo breast (Approximate Flag)
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
[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)