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Home/Diagnosis/ICD-10 Coding for Breast Discomfort

ICD-10 Coding for Breast Discomfort

N64.4
N64.59

Complete ICD-10-CM coding and documentation guide for icd-10 coding for breast discomfort includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Breast Pain
Mastodynia
Mastalgia
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Key Information: ICD-10 Coding for Breast Discomfort

Essential facts and insights about ICD-10 Coding for Breast Discomfort

Use ICD-10 code N64.4 for mastodynia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Mastodynia

Billable Code
N64.4
Billable

Diagnostic Criteria

clinical:
  • • Pain correlates with menstrual cycle
documentation:
  • • Normal imaging results documented

Applicable To

  • • Cyclical breast pain

Important Notes

  • • Ensure documentation specifies the cyclical nature of the pain.

Other signs and symptoms in breast

Billable Code
N64.59
Billable

Diagnostic Criteria

clinical:
  • • Non-cyclical pain
documentation:
  • • Normal imaging results

Applicable To

  • • Non-specific breast tenderness

Important Notes

  • • Ensure documentation specifies the non-cyclical nature of the pain.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.13

Epigastric pain

Use if concurrent abdominal discomfort is present.

Frequently Asked Questions

What is the ICD-10 code for cyclical breast pain?

The ICD-10 code for cyclical breast pain is N64.4, which is used when the pain correlates with the menstrual cycle.

How do you document breast discomfort for ICD-10 coding?

Document the type of pain (cyclical or non-cyclical), any correlation with menstrual cycle, and imaging results to support ICD-10 coding.

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