C50.A0
C50.A0: Malignant inflammatory neoplasm of unspecified breast
Billable / specific codeICD-10-CMunspecified
C50.A0 is a billable, specific ICD-10-CM code for malignant inflammatory neoplasm of unspecified breast. It is valid for submission on a claim.
Check C50.A0 with the rest of the claim: free scrubberOther codes that can never be billed with C50.A0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
C50.A0 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 22 Bladder, Colorectal, and Other Cancers0.363 RAF
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C50.A0 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52478External Breast Prostheses - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A54338Billing and Coding: MolDX: Germline testing for use of PARP inhibitors
Code history
- addedFY2024-FY2027
Malignant inflammatory neoplasm of unspecified breast