N60.31
N60.31 — Fibrosclerosis of right breast
Billable / specific codeICD-10-CMright
N60.31 is a billable, specific ICD-10-CM code for fibrosclerosis of right breast. It is valid for submission on a claim.
Risk adjustment
N60.31 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
N60.31 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Related codes at this level
Codes that share N60.3. If N60.31 is not quite right, the correct code is usually one of these.
Questions about N60.31
- Is N60.31 a billable ICD-10-CM code?
- Yes. N60.31 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N60.31 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).