Metastatic Breast Cancer ICD-10-CM Codes

Metastatic Breast Cancer ICD-10-CM Codes

Understand ICD-10 codes for metastatic breast cancer, their role in medical billing, and the critical clinical information they represent.

By Ericka Pingol on Aug 8, 2025.

Fact Checked by Ericka Pingol.

Use Code

What ICD-10 codes are used for metastatic breast cancer? 

Metastatic breast cancer, also known as stage IV or advanced breast cancer, is a condition where cancer has spread from the breast to other parts of the body. This stage of breast cancer is complex and requires specific ICD-10 codes for accurate documentation and billing. Here are some commonly used ICD-10 codes for metastatic breast cancer:

  • C79.81 - Secondary malignant neoplasm of the breast: This code is used when cancer originating from another body part has spread to the breast.
  • C50.911 - Malignant neoplasm of unspecified site of right female breast: This code is used when the specific location of cancer in the right breast is not identified.
  • C50.912 - Malignant neoplasm of unspecified site of the left female breast: Similar to the previous code but refers to cancer in the left breast.
  • C50.819 - Malignant neoplasm of overlapping sites of the unspecified female breast: This code is used when cancer has spread to multiple areas of the breast, but the exact locations are not specified.
  • C78.01 - Secondary malignant neoplasm of the lung: This code is used when breast cancer has metastasized to the lungs.
  • C78.7 - Secondary malignant neoplasm of the liver and intrahepatic bile duct: This code is used when breast cancer has metastasized to the liver.
  • C79.51 - Secondary malignant neoplasm of bone: This code is used when breast cancer has spread to the bones.
  • C79.31 - Secondary malignant neoplasm of brain: This code is used when breast cancer has metastasized to the brain.

Which metastatic breast cancer ICD codes are billable?

All of the aforementioned metastatic breast cancer ICD codes are valid and billable.

While these codes are typically billable, the specifics may depend on the individual healthcare provider's billing practices and the patient's insurance plan. Always consult with a billing specialist or the insurance provider for confirmation.

Clinical information

Metastatic breast cancer is commonly referred to as stage IV breast cancer, and it's characterized by the cancer spreading into other parts of the body. Symptoms include:

  • Bone pain
  • Joint pain
  • Numbness
  • Headaches and pressure that worsens over time
  • Feeling nauseated
  • Vomiting
  • Coughing that doesn't go away
  • Dyspnea
  • Chest pain
  • Jaundice

Biopsies and bronchoscopies can help with diagnosing metastatic breast cancer. Treatments also include chemotherapy and immunotherapy.

Synonyms include

  • Primary breast cancer metastasis
  • Cancer cells of the breast spreading to other parts of the body
  • Metastatic malignant neoplasm of breast
  • Metastatic primary malignant neoplasm of breast

Popular search terms for metastatic breast cancer ICD-10-CM codes

  • Metastatic breast cancer ICD-10 code
  • ICD-10 metastatic breast cancer
  • Metastatic breast cancer diagnosis codes
  • ICD-10 codes for metastatic breast cancer

Commonly asked questions

An ICD code for metastatic breast cancer is used when cancer has spread from the breast to other body parts, such as the bones, lungs, liver, or brain. Healthcare providers use these codes for documentation, billing, and statistical purposes.

Yes, diagnoses for metastatic breast cancer are typically billable. However, the specifics may depend on the individual healthcare provider's billing practices and the patient's insurance plan. Always consult with a billing specialist or the insurance provider for confirmation.

Treatment for metastatic breast cancer is usually systemic, which targets cancer cells throughout the body. Options may include hormone therapy, chemotherapy, targeted therapy, immunotherapy, or a combination. Treatment choice depends on several factors, including the type of primary breast cancer, the extent of metastasis, previous treatments, and the patient's overall health.

Related ICDs

EHR and practice management software

Get started for free

*No credit card required

Free

$0/usd

Unlimited clients

Telehealth

1GB of storage

Client portal text

Automated billing and online payments