ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| MDC 09 Diseases and disorders of the skin, subcutaneous tissue and breast |
| Non-malignant breast disorders |
| CC or MCC | DRG |
|---|---|
| Yes | 600 |
| No | 601 |
DRG 600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
DRG 601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
NON-MALIGNANT BREAST DISORDERS
PRINCIPAL DIAGNOSIS
| D493 | Neoplasm of unspecified behavior of breast |
| I972 | Postmastectomy lymphedema syndrome |
| N6001 | Solitary cyst of right breast |
| N6002 | Solitary cyst of left breast |
| N6009 | Solitary cyst of unspecified breast |
| N6011 | Diffuse cystic mastopathy of right breast |
| N6012 | Diffuse cystic mastopathy of left breast |
| N6019 | Diffuse cystic mastopathy of unspecified breast |
| N6021 | Fibroadenosis of right breast |
| N6022 | Fibroadenosis of left breast |
| N6029 | Fibroadenosis of unspecified breast |
| N6031 | Fibrosclerosis of right breast |
| N6032 | Fibrosclerosis of left breast |
| N6039 | Fibrosclerosis of unspecified breast |
| N6041 | Mammary duct ectasia of right breast |
| N6042 | Mammary duct ectasia of left breast |
| N6049 | Mammary duct ectasia of unspecified breast |
| N6081 | Other benign mammary dysplasias of right breast |
| N6082 | Other benign mammary dysplasias of left breast |
| N6089 | Other benign mammary dysplasias of unspecified breast |
| N6091 | Unspecified benign mammary dysplasia of right breast |
| N6092 | Unspecified benign mammary dysplasia of left breast |
| N6099 | Unspecified benign mammary dysplasia of unspecified breast |
| N610 | Mastitis without abscess |
| N611 | Abscess of the breast and nipple |
| N6120 | Granulomatous mastitis, unspecified breast |
| N6121 | Granulomatous mastitis, right breast |
| N6122 | Granulomatous mastitis, left breast |
| N6123 | Granulomatous mastitis, bilateral breast |
| N62 | Hypertrophy of breast |
| N630 | Unspecified lump in unspecified breast |
| N6310 | Unspecified lump in the right breast, unspecified quadrant |
| N6311 | Unspecified lump in the right breast, upper outer quadrant |
| N6312 | Unspecified lump in the right breast, upper inner quadrant |
| N6313 | Unspecified lump in the right breast, lower outer quadrant |
| N6314 | Unspecified lump in the right breast, lower inner quadrant |
| N6315 | Unspecified lump in the right breast, overlapping quadrants |
| N6320 | Unspecified lump in the left breast, unspecified quadrant |
| N6321 | Unspecified lump in the left breast, upper outer quadrant |
| N6322 | Unspecified lump in the left breast, upper inner quadrant |
| N6323 | Unspecified lump in the left breast, lower outer quadrant |
| N6324 | Unspecified lump in the left breast, lower inner quadrant |
| N6325 | Unspecified lump in the left breast, overlapping quadrants |
| N6331 | Unspecified lump in axillary tail of the right breast |
| N6332 | Unspecified lump in axillary tail of the left breast |
| N6341 | Unspecified lump in right breast, subareolar |
| N6342 | Unspecified lump in left breast, subareolar |
| N640 | Fissure and fistula of nipple |
| N641 | Fat necrosis of breast |
| N642 | Atrophy of breast |
| N643 | Galactorrhea not associated with childbirth |
| N644 | Mastodynia |
| N6451 | Induration of breast |
| N6452 | Nipple discharge |
| N6453 | Retraction of nipple |
| N6459 | Other signs and symptoms in breast |
| N6481 | Ptosis of breast |
| N6482 | Hypoplasia of breast |
| N6489 | Other specified disorders of breast |
| N649 | Disorder of breast, unspecified |
| N650 | Deformity of reconstructed breast |
| N651 | Disproportion of reconstructed breast |
| Q830 | Congenital absence of breast with absent nipple |
| Q831 | Accessory breast |
| Q832 | Absent nipple |
| Q833 | Accessory nipple |
| Q838 | Other congenital malformations of breast |
| Q839 | Congenital malformation of breast, unspecified |
| R920 | Mammographic microcalcification found on diagnostic imaging of breast |
| R921 | Mammographic calcification found on diagnostic imaging of breast |
| R922 | Inconclusive mammogram |
| R9230 | Dense breasts, unspecified |
| R92311 | Mammographic fatty tissue density, right breast |
| R92312 | Mammographic fatty tissue density, left breast |
| R92313 | Mammographic fatty tissue density, bilateral breasts |
| R92321 | Mammographic fibroglandular density, right breast |
| R92322 | Mammographic fibroglandular density, left breast |
| R92323 | Mammographic fibroglandular density, bilateral breasts |
| R92331 | Mammographic heterogeneous density, right breast |
| R92332 | Mammographic heterogeneous density, left breast |
| R92333 | Mammographic heterogeneous density, bilateral breasts |
| R92341 | Mammographic extreme density, right breast |
| R92342 | Mammographic extreme density, left breast |
| R92343 | Mammographic extreme density, bilateral breasts |
| R928 | Other abnormal and inconclusive findings on diagnostic imaging of breast |
| T8541XA | Breakdown (mechanical) of breast prosthesis and implant, initial encounter |
| T8542XA | Displacement of breast prosthesis and implant, initial encounter |
| T8543XA | Leakage of breast prosthesis and implant, initial encounter |
| T8544XA | Capsular contracture of breast implant, initial encounter |
| T8549XA | Other mechanical complication of breast prosthesis and implant, initial encounter |
| Z4001 | Encounter for prophylactic removal of breast |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |