Is N60.1 a billable ICD-10-CM code?

No. N60.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does N60.1 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).

What cannot be coded together with N60.1?

N60.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N60.1

N60.1 — Diffuse cystic mastopathy

Non-billable headerICD-10-CM

N60.1 is a non-billable header ICD-10-CM code for diffuse cystic mastopathy. 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.

diffuse cystic mastopathy with epithelial proliferation (N60.3-)

Inclusion terms

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

Cystic breast
Fibrocystic disease of breast

Risk adjustment

N60.1 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.

Code to one of these instead N60.1

3 child codes. Green means billable.

Related codes at this level

Codes that share N60. If N60.1 is not quite right, the correct code is usually one of these.

Questions about N60.1

Is N60.1 a billable ICD-10-CM code?: No. N60.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N60.1 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).
What cannot be coded together with N60.1?: N60.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.