ICD-10-CM Code N60.11

Diffuse cystic mastopathy of right breast

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

N60.11 is a billable code used to specify a medical diagnosis of diffuse cystic mastopathy of right breast. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N60.11 might also be used to specify conditions or terms like fibrocystic change of left breast, fibrocystic change of right breast, fibrocystic change of right breast, fibrocystic changes of bilateral breasts, fibrocystic disease of breast, fibrocystic disease of breast, etc

The code N60.11 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:N60.11
Short Description:Diffuse cystic mastopathy of right breast
Long Description:Diffuse cystic mastopathy of right breast

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

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

  • Fibrocystic change of left breast
  • Fibrocystic change of right breast
  • Fibrocystic change of right breast
  • Fibrocystic changes of bilateral breasts
  • Fibrocystic disease of breast
  • Fibrocystic disease of breast

Diagnostic Related Groups

The ICD-10 code N60.11 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2020 through 09/30/2020.

  • 597 - MALIGNANT BREAST DISORDERS WITH MCC
  • 598 - MALIGNANT BREAST DISORDERS WITH CC
  • 599 - MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
  • 600 - NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
  • 601 - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Convert N60.11 to ICD-9

  • 610.1 - Diffus cystic mastopathy (Approximate Flag)

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Disorders of breast (N60-N65)
      • Benign mammary dysplasia (N60)

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

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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