C50.012 Malignant neoplasm of nipple and areola, left female breast

Billable ICD-10-CM code, FY2026.

Applies from C50 Malignant neoplasm of breast

Includes

• connective tissue of breast
• Paget's disease of breast
• Paget's disease of nipple

Excludes1 (never code together)

• skin of breast (C44.501, C44.511, C44.521, C44.591)

Use additional code

• code to identify estrogen, and other hormones and factors receptor status (Z17.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 23 — Prostate, Breast, and Other Cancers and Tumors
• CMS-HCC V22: HCC 12 — Breast, Prostate, and Other Cancers and Tumors
• RxHCC V08: HCC 22 — Prostate, Breast, Bladder, and Other Cancers and Tumors
• ESRD V24: HCC 12

MS-DRG index

Defines the logic of DRG(s) 582-583 in MDC 09.

Approximate ICD-9-CM (GEMs)

• 174.0 Malignant neoplasm of nipple and areola of female breast (approximate)

Code annotations containing back-references to C50.012

Back-references to C50

• Type 1 Excludes: C49 Malignant neoplasm of other connective and soft tissue ("malignant neoplasm of connective tissue of breast (C50.-)")
• Type 1 Excludes: C49.3 Malignant neoplasm of connective and soft tissue of thorax ("malignant neoplasm of breast (C50.-)")
• Type 1 Excludes: D05 Carcinoma in situ of breast ("Paget's disease of breast or nipple (C50.-)")
• Type 2 Excludes: D05 Carcinoma in situ of breast ("malignant neoplasm of breast (C50.-)")
• Code Also: D61.82 Myelophthisis ("malignant neoplasm of breast (C50.-)")
• Code First: D75.81 Myelofibrosis ("malignant neoplasm of breast (C50.-)")
• Code First: Z17 Estrogen, and other hormones and factors receptor status ("malignant neoplasm of breast (C50.-)")
• Code First: Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels ("malignant neoplasm of breast (C50.-)")
• Code Also: Z91.B Personal risk factor of exposure to diethylstilbestrol ("conditions classifiable to C50.-")

Nearby codes

• C50 Malignant neoplasm of breast
• C50.0 Malignant neoplasm of nipple and areola
• C50.01 Malignant neoplasm of nipple and areola, female
• C50.011 Malignant neoplasm of nipple and areola, right female breast
• C50.012 Malignant neoplasm of nipple and areola, left female breast (this code)
• C50.019 Malignant neoplasm of nipple and areola, unspecified female breast
• C50.02 Malignant neoplasm of nipple and areola, male
• C50.021 Malignant neoplasm of nipple and areola, right male breast
• C50.022 Malignant neoplasm of nipple and areola, left male breast
• C50.029 Malignant neoplasm of nipple and areola, unspecified male breast