D48.61 — Neoplasm of uncertain behavior of right breast
Is D48.61 billable?
Yes — D48.61 is billable for FY2027. D48.61 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D48.61 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D48.61 at a glance
| Code | D48.61 |
|---|---|
| Description | Neoplasm of uncertain behavior of right breast |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D48.61 group to?
D48.61 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 582Mastectomy for Malignancy with CC/MCCsurgical
- 583Mastectomy for Malignancy without CC/MCCsurgical
How is D48.61 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under D48.6, the nearest indexed parent of D48.61. Use them to find the family, then select the specific code.
- Cystosarcoma phyllodes
- Tumor › phyllodes
Excludes1 — never code together — inherited from D37-D48
The conditions below can never be reported together with D48.61 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neoplasms of unspecified behavior (D49.-)
Excludes1 — never code together — inherited from D48
The conditions below can never be reported together with D48.61 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neurofibromatosis (nonmalignant) (Q85.0-)
Excludes1 — never code together — inherited from D48.6
The conditions below can never be reported together with D48.61 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neoplasm of uncertain behavior of skin of breast (D48.5)
How long has D48.61 existed?
D48.61 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.