D48.60
D48.60 — Neoplasm of uncertain behavior of unspecified breast
Billable / specific codeICD-10-CMunspecified
D48.60 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of unspecified breast. It is valid for submission on a claim.
Risk adjustment
D48.60 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
D48.60 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A57689Billing and Coding: Lab: Flow Cytometry
- A57788Billing and Coding: Peripheral Nerve Blocks
- A57788Billing and Coding: Peripheral Nerve Blocks
Code history
D48.60 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share D48.6. If D48.60 is not quite right, the correct code is usually one of these.
Questions about D48.60
- Is D48.60 a billable ICD-10-CM code?
- Yes. D48.60 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D48.60 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).