Is N61.20 a billable ICD-10-CM code?

Yes. N61.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N61.20 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).

N61.20

N61.20 — Granulomatous mastitis, unspecified breast

Billable / specific codeICD-10-CMunspecified

N61.20 is a billable, specific ICD-10-CM code for granulomatous mastitis, unspecified breast. It is valid for submission on a claim.

Risk adjustment

N61.20 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.

Related codes at this level

Codes that share N61.2. If N61.20 is not quite right, the correct code is usually one of these.

N61.21Granulomatous mastitis, right breast
N61.22Granulomatous mastitis, left breast
N61.23Granulomatous mastitis, bilateral breast

Questions about N61.20

Is N61.20 a billable ICD-10-CM code?: Yes. N61.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N61.20 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).