Is N60.11 a billable ICD-10-CM code?

Yes. N60.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N60.11 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 N60.11?

N60.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N60.11 (N60.1) and apply to it just the same.

N60.11

N60.11 — Diffuse cystic mastopathy of right breast

Billable / specific codeICD-10-CMright

N60.11 is a billable, specific ICD-10-CM code for diffuse cystic mastopathy of right breast. It is valid for submission on a claim.

Excludes1 inherited from the categories above N60.11

These are not written on N60.11, but they bind it: a note on a category applies to every code beneath it. Billing N60.11 with anything listed here is a denial.

Written on N60.1 — Diffuse cystic mastopathy

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

Risk adjustment

N60.11 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

N60.11 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
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

Code history

N60.11 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 N60.1. If N60.11 is not quite right, the correct code is usually one of these.

Questions about N60.11

Is N60.11 a billable ICD-10-CM code?: Yes. N60.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N60.11 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 N60.11?: N60.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N60.11 (N60.1) and apply to it just the same.