ICD-10 C50.12
Non-Billable HeaderMalignant neoplasm of central portion of breast, male
About ICD-10-CM C50.12
ICD-10-CM code C50.12 represents Malignant neoplasm of central portion of breast, male. This is a non-billable header code in the chapter (block C50). The 2026 edition of ICD-10-CM C50.12 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for C50.12
Local Coverage Determinations (LCDs) from CMS MACs that list C50.12 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing C50.12.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but C50.12 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with C50.12
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To C50.12
Other codes in section C50 (Malignant neoplasms of breast).
ICD-10 C50.12, Billing FAQ
Is ICD-10 code C50.12 billable? +
No, C50.12 is a non-billable header code. Use a more specific child code from block C50 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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