Is N61.23 a billable ICD-10-CM code?

Yes. N61.23 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N61.23 sit in the tabular list?

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

N61.23

N61.23 — Granulomatous mastitis, bilateral breast

Billable / specific codeICD-10-CMbilateral

N61.23 is a billable, specific ICD-10-CM code for granulomatous mastitis, bilateral breast. It is valid for submission on a claim.

Risk adjustment

N61.23 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

N61.23 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography

Related codes at this level

Codes that share N61.2. If N61.23 is not quite right, the correct code is usually one of these.

Questions about N61.23

Is N61.23 a billable ICD-10-CM code?: Yes. N61.23 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N61.23 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).