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Home/Diagnosis/ICD-10 Coding for Breast Hypertrophy

ICD-10 Coding for Breast Hypertrophy

N62

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

Also Known as:
Macromastia
Breast Enlargement
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Key Information: ICD-10 Coding for Breast Hypertrophy

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

Use ICD-10 code N62 for hypertrophy of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hypertrophy of breast

Billable Code
N62
Billable

Diagnostic Criteria

clinical:
  • • Symptoms persist despite 6 weeks of conservative measures.
documentation:
  • • Include photographic evidence and physical findings.

Applicable To

  • • Macromastia
  • • Breast enlargement

Important Notes

  • • Ensure documentation supports the linkage between symptoms and breast hypertrophy.
Ancillary Codes

Additional codes that may be used with this diagnosis

N64.4

Chronic breast pain

Use when pain is directly attributed to breast weight.

L30.4

Intertrigo

Use when rash is unresponsive to ≥6 weeks of topical therapy.

M54.6

Upper back pain

Use when pain limits activities of daily living.

Frequently Asked Questions

What is the ICD-10 code for breast hypertrophy?

The ICD-10 code for breast hypertrophy is N62, used when breast enlargement is the primary condition being treated.

How do you document breast hypertrophy for insurance?

Document at least two symptoms, such as chronic pain or intertrigo, and failed conservative treatments to establish medical necessity.

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