D48.6

D48.6: Neoplasm of uncertain behavior of breast

Non-billable headerICD-10-CM

D48.6 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of breast. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

neoplasm of uncertain behavior of skin of breast (D48.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neoplasm of uncertain behavior of connective tissue of breast
Cystosarcoma phyllodes

Excludes1 inherited from the categories above D48.6

A category’s note binds every code beneath it.

Written on D48: Neoplasm of uncertain behavior of other and unspecified sites

neurofibromatosis (nonmalignant) (Q85.0-)

Other codes that can never be billed with D48.6

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

D48.1Neoplasm of uncertain behavior of connective and other soft tissue

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D48.6

3 child codes. Green means billable.