N63Not billable, use a more specific code below

Unspecified lump in breast

In Disorders of breast (N60-N65), chapter 14: Diseases of the Genitourinary System

17 billable codes under N63: none are a CC or MCC; none map to an HCC.

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Instructional notes

Includes: conditions that are coded here

  • Nodule(s) NOS in breast

Also applies, from Disorders of breast (N60-N65)

These notes sit on N60-N65 and apply to every code under it, including N63.

Excludes1: not coded here, use a different code

  • disorders of breast associated with childbirth (O91-O92)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.

Read Section I.C.14 (page 62)

N63 MS-DRGs

As the principal diagnosis, all 17 billable codes under N63 group to MS-DRG 600 or 601 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to N63

Notes on these codes point to N63.

  • CH18 Excludes2: signs and symptoms of breast (N63, N64.5)
  • R22.2 Excludes2: breast mass and lump (N63)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Breast Diseases

Breast diseases include various conditions and changes in your breast. Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges of fluids that are not breast milk.

Read more about breast diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015.

  • FY2018: Subcodes were added, so N63 is no longer billable on its own. New codes for cases coded here before: N63.0 (Unspecified lump in unspecified breast), N63.10 (Unspecified lump in the right breast, unspecified quadrant), N63.11 (Unspecified lump in the right breast, upper outer quadrant), N63.12 (Unspecified lump in the right breast, upper inner quadrant), N63.13 (Unspecified lump in the right breast, lower outer quadrant), N63.14 (Unspecified lump in the right breast, lower inner quadrant), N63.20 (Unspecified lump in the left breast, unspecified quadrant), N63.21 (Unspecified lump in the left breast, upper outer quadrant), and 7 more.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 611.72 Lump or mass in breast
ICD-9 to ICD-10 converter