ICD-10-CM Billable Code

N61.0

Mastitis without abscess

Clinical Classification Guidelines

Inclusion Terms

  • Infective mastitis (acute) (nonpuerperal) (subacute)
  • Mastitis (acute) (nonpuerperal) (subacute) NOS
  • Cellulitis (acute) (nonpuerperal) (subacute) of breast NOS
  • Cellulitis (acute) (nonpuerperal) (subacute) of nipple NOS

Medical Intelligence & Overview

Mastitis without abscess is an inflammation of the breast tissue that typically involves infection and leads to swelling, redness, and pain. It is different from mastitis with abscess, which includes pus formation. This condition can affect both breastfeeding and non-breastfeeding women, and prompt recognition and management are important to alleviate symptoms and prevent complications.

Causes & Symptoms

Clinical Causes: Bacterial infections, most commonly Staphylococcus aureus Hormonal changes affecting breast tissue Breast injury or trauma Poor breast hygiene leading to bacterial entry Cracked or sore nipples Blockage of milk ducts (in breastfeeding women) Underlying skin infections near the breast area Immunocompromised conditions that reduce infection resistance

Key Symptoms: Breast pain or tenderness Swelling and warmth in the affected breast Redness or discoloration of the skin on the breast Rash or skin changes that may resemble cellulitis Fever and chills in some cases General discomfort or feeling unwell Possible nipple soreness or discharge

Diagnostic & Treatment

Diagnosis Path: Breast ultrasound to evaluate tissue and rule out abscess formation Laboratory tests such as blood tests to identify infection markers Direct sampling or aspiration of breast tissue or fluid for culture to identify bacteria Assessment of the patient's medical history and symptoms

Treatment Protocols: Antibiotic therapy targeted at common causative bacteria Pain relief with over-the-counter medications like acetaminophen or NSAIDs Supportive measures such as warm compresses to reduce discomfort Ensuring proper breast hygiene Encouraging continued breastfeeding or milk expression to promote drainage and healing Rest and hydration to support the immune response

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is N61.0 a billable ICD-10 code?
Yes, N61.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report N61.0?
Clinical documentation must specify the nature of Mastitis without abscess and any associated comorbidities for accurate reporting.

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Related Diagnosis Codes

Clinical Meta Tags

mastitis abscess