D24.1 — Benign neoplasm of right breast
D24.1 is a billable, specific ICD-10-CM code for benign neoplasm of right breast. It is valid for submission on a claim.
Excludes2 inherited from the categories above D24.1
Also inherited, and the opposite of Excludes1: these conditions are not part of D24.1, but a patient can have both, so you may code both.
Other codes that can never be billed with D24.1
These codes carry an Excludes1 note pointing at D24.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D24.1 alone.
- D21Other benign neoplasms of connective and other soft tissue
Risk adjustment
D24.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D24.1 is named in 15 Medicare coverage policies — 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Code history
D24.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share D24. If D24.1 is not quite right, the correct code is usually one of these.
Questions about D24.1
- Is D24.1 a billable ICD-10-CM code?
- Yes. D24.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D24.1 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).