N61.20
Billable codeGranulomatous mastitis, unspecified breast
The ICD-10 code for granulomatous mastitis, unspecified breast is N61.20.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •Laterality-specific codes exist for this condition — confirm the affected side is documented.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- N61.21Granulomatous mastitis, right breast
- N61.22Granulomatous mastitis, left breast
- N61.23Granulomatous mastitis, bilateral breast
- N61.20Granulomatous mastitis, unspecified breast
Associated MS-DRGs
N61.20 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
- DRG 565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
- DRG 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
- DRG 600Non-Malignant Breast Disorders with CC/MCC
- DRG 601Non-Malignant Breast Disorders without CC/MCC