D48.6
Non-Billable

Neoplasm of uncertain behavior of breast

Non-Billable / Non-Specific Code

What is Neoplasm of uncertain behavior of breast?

ICD-10-CM D48.6 is the diagnosis code for Neoplasm of uncertain behavior of breast. This code falls under the section "Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes" within Chapter 2 — Neoplasms (C00-D49). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for D48.6

✅ This Code Includes

  • Neoplasm of uncertain behavior of connective tissue of breast
  • Cystosarcoma phyllodes

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as D48.6. They are mutually exclusive:

  • neoplasm of uncertain behavior of skin of breast (D48.5)

ICD-10-CM Code Hierarchy

Understanding where D48.6 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
D48.60Neoplasm of uncertain behavior of unspecified breastBillableD48.61Neoplasm of uncertain behavior of right breastBillableD48.62Neoplasm of uncertain behavior of left breastBillable
Related Codes

Frequently Asked Questions

Is D48.6 a billable ICD-10-CM code?

No, D48.6 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does D48.6 mean?

D48.6 is the ICD-10-CM diagnosis code for "Neoplasm of uncertain behavior of breast". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of D48.6?

The parent code of D48.6 is D48 ("Neoplasm of uncertain behavior of other and unspecified sites"). D48.6 provides a more specific classification within this category.

What section is D48.6 in?

D48.6 is located in Section D37-D48 — "Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes" within Chapter 2 of the ICD-10-CM Tabular List.

What are the sub-codes of D48.6?

D48.6 has 3 sub-code(s) that provide more specific detail: D48.60, D48.61, D48.62.

When should I use D48.6?

Use D48.6 when the patients documented diagnosis matches "Neoplasm of uncertain behavior of breast" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Neoplasm of uncertain behavior of breast?

The ICD-10-CM code for Neoplasm of uncertain behavior of breast is D48.6.

Can D48.6 be used for primary diagnosis?

No, D48.6 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is D48.6 in?

D48.6 is in Chapter 2 of the ICD-10-CM Tabular List.

What conditions are excluded from D48.6?

Type 1 Excludes for D48.6 include: neoplasm of uncertain behavior of skin of breast (D48.5).

Is D48.6 valid for 2026?

Yes, D48.6 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD48.5Neoplasm of uncertain behavior of skinNext →D48.60Neoplasm of uncertain behavior of unspecified breast
Code Details
D48.6
Neoplasm of uncertain behavior of breast
Non-Billable / Non-Specific Code
2 — Neoplasms (C00-D49)
D37-D48 — Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes
2026 ICD-10-CM