2024 ICD-10-CM Diagnosis Code D48.61

Neoplasm of uncertain behavior of right breast

ICD-10-CM Code:
D48.61
ICD-10 Code for:
Neoplasm of uncertain behavior of right breast
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Neoplasms
    (C00–D49)
    • Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes
      (D37-D48)
      • Neoplasm of uncertain behavior of other and unspecified sites
        (D48)

D48.61 is a billable diagnosis code used to specify a medical diagnosis of neoplasm of uncertain behavior of right breast. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The following anatomical sites found in the Table of Neoplasms reference the parent code D48.6 of the current diagnosis code given the correct histological behavior: Neoplasm, neoplastic areola ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) areola ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) axillary tail ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) central portion ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) inner ; Neoplasm, neoplastic breast (connective tissue) (glandular tissue) (soft parts) lower ; etc

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

Clinical Classification

Convert D48.61 to ICD-9-CM

  • ICD-9-CM Code: 238.3 - Unc behav neo breast
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Table of Neoplasms

The parent code D48.6 of the current diagnosis code is referenced 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
»Neoplasm, neoplastic
  »areola
C50.0C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
C50.9C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »areola
C50.0C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »axillary tail
C50.6C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »central portion
C50.1C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »inner
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »lower
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »lower-inner quadrant
C50.3C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »lower-outer quadrant
C50.5C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »midline
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »nipple
C50.0C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »outer
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »tail (axillary)
C50.6C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »upper
C50.8C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »upper-inner quadrant
C50.2C79.81D05.D24.D48.6D49.3
»Neoplasm, neoplastic
  »breast (connective tissue) (glandular tissue) (soft parts)
    »upper-outer quadrant
C50.4C79.81D05.D24.D48.6D49.3

Patient Education


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 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.