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N63.1 vs N63.2

N63.1 (Unspecified lump in the right breast) compared with N63.2 (Unspecified lump in the left breast), from the official CMS tabular data. N63.1 and N63.2 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

N63.1
Right
Unspecified lump in the right breast
N63.2
Left
Unspecified lump in the left breast

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. N63.1 and N63.2 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

N63.1Unspecified lump in the right breastN63.2Unspecified lump in the left breast
Billing statusNon-billable header

Report instead: N63.10, N63.11, N63.12, N63.13, N63.14

Non-billable header

Report instead: N63.20, N63.21, N63.22, N63.23, N63.24

ClassificationN00-N99 — Diseases of the genitourinary systemN00-N99 — Diseases of the genitourinary system
DefinitionUnspecified lump in the right breast is a non-billable ICD-10-CM category code (N63.1).Unspecified lump in the left breast is a non-billable ICD-10-CM category code (N63.2).

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