N60.01
BillableSolitary cyst of right breast
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N60.01 an HCC code?
No. N60.01 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
N60.01 is the ICD-10-CM diagnosis code for solitary cyst of right breast. A single fluid-filled sac or pocket that develops in the right breast, which is a common benign condition that may cause tenderness or a palpable lump. N60.01 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering disorders of breast (n60-n65).
N60.01 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
The fifth character specifies laterality (right, left, or unspecified) - ensure correct side is documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N60.01 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.