N60.81
N60.81 — Other benign mammary dysplasias of right breast
Billable / specific codeICD-10-CMright
N60.81 is a billable, specific ICD-10-CM code for other benign mammary dysplasias of right breast. It is valid for submission on a claim.
Risk adjustment
N60.81 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
N60.81 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
Code history
N60.81 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 N60.8. If N60.81 is not quite right, the correct code is usually one of these.
Questions about N60.81
- Is N60.81 a billable ICD-10-CM code?
- Yes. N60.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N60.81 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).