N61.1 Abscess of the breast and nipple

The ICD-10-CM code for Abscess of the breast and nipple is N61.1 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

14: Diseases of the genitourinary system (N00-N99)

Section

N60-N65: Disorders of breast (N60-N65)

Category N61

8 codes (6 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to N61.1:

• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › breast (acute) (chronic) (nonpuerperal)
• Furuncle › breast
• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › nipple
• Suppuration, suppurative › mammary gland
• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › areola (acute) (chronic) (nonpuerperal)
• Mastitis (acute) (diffuse) (nonpuerperal) (subacute) › with abscess
• Suppuration, suppurative › breast
• Carbuncle › breast

Inclusion Terms

• Abscess (acute) (chronic) (nonpuerperal) of areola
• Abscess (acute) (chronic) (nonpuerperal) of breast
• Carbuncle of breast
• Mastitis with abscess

U.S. Hospital Utilization

• An estimated 12,755 U.S. inpatient stays in 2023 included N61.1 among the documented diagnoses.
• 5,875 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

CKD staging and code assignment (N18.-)

The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages 1-5. Stage 2, code N18.2, equates to mild CKD; stage 3, codes N18.30-N18.32, equate to moderate CKD; and stage 4, code N18.4, equates to severe CKD. Code N18.6, End stage renal disease (ESRD), is assigned when the provider has documented end- stage renal disease (ESRD).

CKD stage plus ESRD: assign N18.6 only

If both a stage of CKD and ESRD are documented, assign code N18.6 only.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)

Cite This Page

Reference N61.1 with the canonical source and edition:

N61.1 — Abscess of the breast and nipple. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/N61.1

Canonical URL: https://icd10codingpro.com/codes/N61.1