New code · FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
C50.A0
- C50CategoryMalignant neoplasm of breast
- ACharacter 4Malignant inflammatory neoplasm of breast
- 0Character 5Malignant inflammatory neoplasm of unspecified breast
Coding notes
Inclusion terms (from C50.A)
- Inflammatory breast cancer (IBC)
Includes (from C50)
- connective tissue of breast
- Paget's disease of breast
- Paget's disease of nipple
Excludes1 (from C50)
- skin of breast (C44.501, C44.511, C44.521, C44.591)
Use additional code (from C50)
- code to identify estrogen, and other hormones and factors receptor status (Z17.-)
Medicare coverage
C50.A0 is listed as a covered diagnosis in 14 Medicare billing and coding articles:
- A54338 Billing and Coding: MolDX: Germline testing for use of PARP inhibitors
- A55224 Billing and Coding: MolDX: Germline testing for use of PARP inhibitors
- A55294 Billing and Coding: MolDX: Germline testing for use of PARP inhibitors
- A56542 Billing and Coding: BRCA1 and BRCA2 Genetic Testing
- A56695 Billing and Coding: Implantable Infusion Pump
- A56748 Billing and Coding: White Cell Colony Stimulating Factors
- A56827 Billing and Coding: Proton Beam Therapy
- A57449 Billing and Coding: BRCA1 and BRCA2 Genetic Testing
- A58652 Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
- A58679 Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
…and 4 more. Check the coverage tool for your CPT code.
Check this code
- Code search: full entry and nearby codes
- Excludes checker: can it be billed with another code?
- Coverage checker: is it covered for your CPT code?
ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.