{"code":"D48.6","type":"code","title":"Neoplasm of uncertain behavior of breast","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["neoplasm of uncertain behavior of skin of breast (D48.5)","neurofibromatosis (nonmalignant) (Q85.0-)","neoplasms of unspecified behavior (D49.-)"],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"inclusionTerms":["Neoplasm of uncertain behavior of connective tissue of breast","Cystosarcoma phyllodes"],"useAdditionalCode":[],"clinicalDefinition":"Neoplasm of uncertain behavior of breast is a non-billable ICD-10-CM category code (D48.6). A more specific billable subcode must be selected for claims submission. Inclusion terms: Neoplasm of uncertain behavior of connective tissue of breast; Cystosarcoma phyllodes. Excludes1 (not coded here): neoplasm of uncertain behavior of skin of breast (D48.5); neurofibromatosis (nonmalignant) (Q85.0-); neoplasms of unspecified behavior (D49.-).","officialDefinition":"Neoplasm of uncertain behavior of breast is a non-billable ICD-10-CM category code (D48.6). A more specific billable subcode must be selected for claims submission. Inclusion terms: Neoplasm of uncertain behavior of connective tissue of breast; Cystosarcoma phyllodes. Excludes1 (not coded here): neoplasm of uncertain behavior of skin of breast (D48.5); neurofibromatosis (nonmalignant) (Q85.0-); neoplasms of unspecified behavior (D49.-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"neurofibromatosis (nonmalignant) (Q85.0-)":"D48","neoplasms of unspecified behavior (D49.-)":"D48"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}