Skip to main content
Compare/N60.1 vs N60.3

N60.1 vs N60.3

N60.1 (Diffuse cystic mastopathy) compared with N60.3 (Fibrosclerosis of 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. N60.1 carries an Excludes1 note covering N60.3: “diffuse cystic mastopathy with epithelial proliferation (N60.3-)”

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

N60.1Diffuse cystic mastopathyN60.3Fibrosclerosis of breast
Billing statusNon-billable header

Report instead: N60.11, N60.12, N60.19

Non-billable header

Report instead: N60.31, N60.32, N60.39

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionDiffuse cystic mastopathy is a non-billable ICD-10-CM category code (N60.1).Fibrosclerosis of breast is a non-billable ICD-10-CM category code (N60.3).
Includes
fibrocystic mastopathy
Cystic breast
Fibrocystic disease of breast
fibrocystic mastopathy
Cystic mastopathy with epithelial proliferation

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