N61.0
BillableMastitis without abscess
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Inflammation of the breast tissue without a collection of pus (abscess). This is typically caused by infection or irritation and presents with pain, redness, and swelling.
Coding Tips
- •Distinguish between mastitis without abscess (N61.0) and mastitis with abscess (N61.1) based on imaging or clinical findings
- •Document the laterality and any associated risk factors such as lactation status or recent trauma