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D48.60

Billable

Neoplasm of uncertain behavior of unspecified breast

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A growth in breast tissue that is not clearly cancer but has uncertain behavior, and the specific breast (left or right) is not documented.

Coding Tips

  • •Use D48.61 or D48.62 if the laterality (right or left breast) is documented; unspecified should only be used when laterality is truly unknown
  • •Ensure pathology confirms uncertain behavior rather than benign or malignant classification

Code Hierarchy

└D48Neoplasm of uncertain behavior of other and unspecified sites└D48.6Neoplasm of uncertain behavior of breast└D48.60Neoplasm of uncertain behavior of unspecified breast
└D48.60Neoplasm of uncertain behavior of unspecified breast

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