2022 ICD-10-CM Code N61.1
Abscess of the breast and nipple
Valid for Submission
| ICD-10: | N61.1 |
| Short Description: | Abscess of the breast and nipple |
| Long Description: | Abscess of the breast and nipple |
Code Classification
N61.1 is a billable diagnosis code used to specify a medical diagnosis of abscess of the breast and nipple. The code N61.1 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 N61.1 might also be used to specify conditions or terms like abscess of breast, abscess of breast, associated with childbirth, abscess of chest wall, abscess of nipple, abscess of nipple - obstetric , abscess of skin of breast, etc.
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 N61.1:
Inclusion Terms
Inclusion TermsThese 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.
- Abscess (acute) (chronic) (nonpuerperal) of areola
- Abscess (acute) (chronic) (nonpuerperal) of breast
- Carbuncle of breast
- Mastitis with abscess
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 N61.1 are found in the index:
- - Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) - L02.91
- - areola (acute) (chronic) (nonpuerperal) - N61.1
- - breast (acute) (chronic) (nonpuerperal) - N61.1
- - nipple - N61.1
- - Suppuration, suppurative - See Also: condition;
- - breast - N61.1
- - mammary gland - N61.1
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abscess of breast
- Abscess of breast, associated with childbirth
- Abscess of chest wall
- Abscess of nipple
- Abscess of nipple - obstetric
- Abscess of skin of breast
- Acute abscess of areola
- Acute abscess of breast
- Acute mastitis
- Carbuncle of breast
- Carbuncle of chest wall
- Carbuncle of pectoral region
- Cellulitis and abscess of breast
- Cellulitis and abscess of trunk
- Cellulitis of breast
- Cellulitis of pectoral region
- Chronic abscess of areola
- Chronic abscess of breast
- Chronic non-puerperal breast abscess
- Chronic subareolar non-puerperal abscess
- Furuncle of breast
- Furuncle of chest wall
- Furuncle of pectoral region
- Intramammary breast abscess
- Mammary fistula
- Nonpuerperal abscess of areola
- Nonpuerperal abscess of areola
- Nonpuerperal abscess of breast
- Nonpuerperal abscess of left areola
- Nonpuerperal abscess of left breast
- Nonpuerperal abscess of right areola
- Nonpuerperal abscess of right breast
- Obstetric breast abscess
- Retromammary abscess associated with childbirth
- Retromammary breast abscess
- Retromammary breast abscess
- Streptococcal mastitis
- Subareolar abscess associated with childbirth
- Subareolar breast abscess
- Subareolar breast abscess
- Submammary abscess associated with childbirth
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code N61.1 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 |
|---|---|---|---|
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | 09 | 0.9957 |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | 09 | 0.6876 |
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.
Replacement Code
N611 replaces the following previously assigned ICD-10 code(s):
- N61 - Inflammatory disorders of breast
Convert N61.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code N61.1 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.
- 611.0 - Inflam disease of 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