D24.1

D24.1: Benign neoplasm of right breast

Billable / specific codeICD-10-CMright

D24.1 is a billable, specific ICD-10-CM code for benign neoplasm of right breast. It is valid for submission on a claim.

Check D24.1 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above D24.1

Not part of this code, but both may be coded when both are present.

Written on D24: Benign neoplasm of breast

adenofibrosis of breast (N60.2)
benign cyst of breast (N60.-)
benign mammary dysplasia (N60.-)
benign neoplasm of skin of breast (D22.5, D23.5)
fibrocystic disease of breast (N60.-)

Other codes that can never be billed with D24.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

D21Other benign neoplasms of connective and other soft tissue

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D24.1 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52849Billing and Coding: Breast Imaging: 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
A56587Billing and Coding: Cosmetic and Reconstructive Surgery

Code history

Unchanged in every release from FY2024 to FY2027.