N63.1 — Unspecified lump in the right breast
Is N63.1 billable?
No — N63.1 is a non-billable header code. N63.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath N63.1.
Billable codes under this header
- 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
N63.1 at a glance
| Code | N63.1 |
|---|---|
| Description | Unspecified lump in the right breast |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from N60-N65
The conditions below can never be reported together with N63.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- disorders of breast associated with childbirth (O91-O92)
Excludes2 — not included here — inherited from Chapter 14
The conditions below are not part of N63.1, but a patient may have both at the same time. When documentation supports it, N63.1 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
What codes fall under N63.1? (6)
- 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
How long has N63.1 existed?
N63.1 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.