C50
Header — not billableMalignant neoplasm of breast
The ICD-10 code for malignant neoplasm of breast is C50.
C50 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 10 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Includes
Terms listed here further define or give examples of the conditions grouped under this code — they describe what the code covers, not a separate diagnosis.
- connective tissue of breast
- Paget's disease of breast
- Paget's disease of nipple
Use additional code
This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.
- code to identify estrogen, and other hormones and factors receptor status (Z17.-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under C50
- C50.0Malignant neoplasm of nipple and areolanon-billable header
- C50.1Malignant neoplasm of central portion of breastnon-billable header
- C50.2Malignant neoplasm of upper-inner quadrant of breastnon-billable header
- C50.3Malignant neoplasm of lower-inner quadrant of breastnon-billable header
- C50.4Malignant neoplasm of upper-outer quadrant of breastnon-billable header
- C50.5Malignant neoplasm of lower-outer quadrant of breastnon-billable header
- C50.6Malignant neoplasm of axillary tail of breastnon-billable header
- C50.8Malignant neoplasm of overlapping sites of breastnon-billable header
- C50.9Malignant neoplasm of breast of unspecified sitenon-billable header
- C50.AMalignant inflammatory neoplasm of breastnon-billable header