N63.1
N63.1 — Unspecified lump in the right breast
Non-billable headerICD-10-CMright
N63.1 is a non-billable header ICD-10-CM code for unspecified lump in the right breast. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
N63.1 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 N63.1
6 child codes. Green means billable.
- N63.10Unspecified lump in the right breast, unspecified quadrant
- N63.11Unspecified lump in the right breast, upper outer quadrant
- N63.12Unspecified lump in the right breast, upper inner quadrant
- N63.13Unspecified lump in the right breast, lower outer quadrant
- N63.14Unspecified lump in the right breast, lower inner quadrant
- N63.15Unspecified lump in the right breast, overlapping quadrants
Related codes at this level
Codes that share N63. If N63.1 is not quite right, the correct code is usually one of these.
Questions about N63.1
- Is N63.1 a billable ICD-10-CM code?
- No. N63.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does N63.1 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).