N60.12
N60.12 — Diffuse cystic mastopathy of left breast
Billable / specific codeICD-10-CMleft
N60.12 is a billable, specific ICD-10-CM code for diffuse cystic mastopathy of left breast. It is valid for submission on a claim.
Risk adjustment
N60.12 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
N60.12 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
Related codes at this level
Codes that share N60.1. If N60.12 is not quite right, the correct code is usually one of these.
Questions about N60.12
- Is N60.12 a billable ICD-10-CM code?
- Yes. N60.12 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N60.12 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).