N60.41
BillableMammary duct ectasia of right breast
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N60.41 an HCC code?
No. N60.41 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
N60.41 is the ICD-10-CM diagnosis code for mammary duct ectasia of right breast. A benign condition where milk ducts in the right breast become enlarged and dilated, potentially causing nipple discharge. N60.41 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering disorders of breast (n60-n65).
N60.41 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.
Document whether nipple discharge is present, as this may influence clinical management.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N60.41 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document whether nipple discharge is present, as this may influence clinical management
- •Confirm right breast laterality is documented before coding