MCMCB Pro
N61

N61Inflammatory disorders of breast

Non-billable headerICD-10-CM

N61 is a non-billable header ICD-10-CM code for inflammatory disorders of breast. 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.

  • inflammatory carcinoma of breast (C50.A-)
  • inflammatory disorder of breast associated with childbirth (O91.-)
  • neonatal infective mastitis (P39.0)
  • thrombophlebitis of breast [Mondor's disease] (I80.8)

Risk adjustment

N61 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 N61

3 child codes. Green means billable.

Questions about N61

Is N61 a billable ICD-10-CM code?
No. N61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N61 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 N61?
N61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.