ICD-10 Code N60.11

Diffuse cystic mastopathy of right breast

Version 2019 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 2019 for the submission of HIPAA-covered transactions.

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

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 mandated 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

Information for Medical Professionals

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).

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). The diagnosis code N60.11 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 610.1 - Diffus cystic mastopathy (Approximate Flag)

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

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

  • Breast - premenstrual tenderness and swelling (Medical Encyclopedia)
  • Breast biopsy -- stereotactic (Medical Encyclopedia)
  • Breast biopsy -- ultrasound (Medical Encyclopedia)
  • Breast infection (Medical Encyclopedia)
  • Breast lump (Medical Encyclopedia)
  • Breast MRI scan (Medical Encyclopedia)
  • Breast pain (Medical Encyclopedia)
  • Breast self exam (Medical Encyclopedia)
  • Breast skin and nipple changes (Medical Encyclopedia)
  • Fibroadenoma - breast (Medical Encyclopedia)
  • Fibrocystic breast disease (Medical Encyclopedia)
  • Gynecomastia (Medical Encyclopedia)
  • Intraductal papilloma (Medical Encyclopedia)
  • Nipple problems (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.