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Home/Diagnosis/ICD-10 Coding for Breast Tenderness

ICD-10 Coding for Breast Tenderness

N64.4

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

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

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

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:
  • • Presence of breast tenderness without masses or other identifiable pathology.
documentation:
  • • Detailed documentation of laterality and cyclical nature.

Applicable To

  • • Breast tenderness
  • • Breast pain

Important Notes

  • • Ensure documentation specifies laterality and quadrant to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Use when the encounter is primarily for pain management.

Frequently Asked Questions

What is the ICD-10 code for breast tenderness?

The ICD-10 code for breast tenderness is N64.4, also known as mastodynia. It is used for isolated breast pain without identifiable pathology.

How should breast tenderness be documented?

Document breast tenderness by specifying laterality, quadrant, and whether the pain is cyclical or non-cyclical. Include any associated symptoms.

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