ICD-10 · PDGM grouping

N60-N65 — Disorders of breast

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

60

No clinical group

10

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

27 of the 60 codes in N60-N65 group to MMTA - Other, but the range is not uniform — it spreads across 3 clinical groups. A further 10 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in N60-N65

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
N6001Solitary cyst of right breastJAccepted
N6002Solitary cyst of left breastJAccepted
N6009Solitary cyst of unspecified breastNoneCannot group
N6011Diffuse cystic mastopathy of right breastJAccepted
N6012Diffuse cystic mastopathy of left breastJAccepted
N6019Diffuse cystic mastopathy of unspecified breastNoneCannot group
N6021Fibroadenosis of right breastAAccepted
N6022Fibroadenosis of left breastAAccepted
N6029Fibroadenosis of unspecified breastNoneCannot group
N6031Fibrosclerosis of right breastAAccepted
N6032Fibrosclerosis of left breastAAccepted
N6039Fibrosclerosis of unspecified breastNoneCannot group
N6041Mammary duct ectasia of right breastJAccepted
N6042Mammary duct ectasia of left breastAAccepted
N6049Mammary duct ectasia of unspecified breastNoneCannot group
N6081Other benign mammary dysplasias of right breastJAccepted
N6082Other benign mammary dysplasias of left breastJAccepted
N6089Other benign mammary dysplasias of unspecified breastNoneCannot group
N6091Unspecified benign mammary dysplasia of right breastJAccepted
N6092Unspecified benign mammary dysplasia of left breastJAccepted
N6099Unspecified benign mammary dysplasia of unspecified breastNoneCannot group
N610Mastitis without abscessJAccepted
N611Abscess of the breast and nippleCAccepted
N6120Granulomatous mastitis, unspecified breastNoneCannot group
N6121Granulomatous mastitis, right breastAAccepted
N6122Granulomatous mastitis, left breastAAccepted
N6123Granulomatous mastitis, bilateral breastAAccepted
N62Hypertrophy of breastJAccepted
N630Unspecified lump in unspecified breastNoneCannot group
N6310Unspecified lump in the right breast, unspecified quadrantAAccepted
N6311Unspecified lump in the right breast, upper outer quadrantAAccepted
N6312Unspecified lump in the right breast, upper inner quadrantAAccepted
N6313Unspecified lump in the right breast, lower outer quadrantAAccepted
N6314Unspecified lump in the right breast, lower inner quadrantAAccepted
N6315Unspecified lump in the right breast, overlapping quadrantsAAccepted
N6320Unspecified lump in the left breast, unspecified quadrantAAccepted
N6321Unspecified lump in the left breast, upper outer quadrantAAccepted
N6322Unspecified lump in the left breast, upper inner quadrantAAccepted
N6323Unspecified lump in the left breast, lower outer quadrantAAccepted
N6324Unspecified lump in the left breast, lower inner quadrantAAccepted
N6325Unspecified lump in the left breast, overlapping quadrantsAAccepted
N6331Unspecified lump in axillary tail of the right breastAAccepted
N6332Unspecified lump in axillary tail of the left breastAAccepted
N6341Unspecified lump in right breast, subareolarAAccepted
N6342Unspecified lump in left breast, subareolarAAccepted
N640Fissure and fistula of nippleCAccepted
N641Fat necrosis of breastJAccepted
N642Atrophy of breastAAccepted
N643Galactorrhea not associated with childbirthJAccepted
N644MastodyniaJAccepted
N6451Induration of breastJAccepted
N6452Nipple dischargeJAccepted
N6453Retraction of nippleAAccepted
N6459Other signs and symptoms in breastJAccepted
N6481Ptosis of breastJAccepted
N6482Hypoplasia of breastAAccepted
N6489Other specified disorders of breastJAccepted
N649Disorder of breast, unspecifiedNoneCannot group
N650Deformity of reconstructed breastJAccepted
N651Disproportion of reconstructed breastJAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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