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C50.A vs N61.21

C50.A (Malignant inflammatory neoplasm of breast) compared with N61.21 (Granulomatous mastitis, right breast), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N61.21 carries an Excludes1 note covering C50.A: “inflammatory carcinoma of breast (C50.A-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

C50.AMalignant inflammatory neoplasm of breastN61.21Granulomatous mastitis, right breast
Billing statusNon-billable header

Report instead: C50.A0, C50.A1, C50.A2

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionMalignant inflammatory neoplasm of breast is a non-billable ICD-10-CM category code (C50.A).Granulomatous mastitis, right breast is a billable ICD-10-CM diagnosis code (N61.21).
Includes
connective tissue of breast
Paget's disease of breast
Paget's disease of nipple
Inflammatory breast cancer (IBC)
Use additional code
code to identify estrogen, and other hormones and factors receptor status (Z17.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources