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Home/Diagnosis/ICD-10 Coding for Macromastia

ICD-10 Coding for Macromastia

N62

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

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

Essential facts and insights about ICD-10 Coding for Macromastia

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:
  • • Document breast size and weight impact on symptoms.
documentation:
  • • Include failed conservative management attempts.

Applicable To

  • • Breast hypertrophy
  • • Gigantomastia

Important Notes

  • • Ensure documentation includes specific symptoms and failed conservative treatments.
Ancillary Codes

Additional codes that may be used with this diagnosis

N64.4

Mastodynia

Use for chronic breast pain directly attributed to breast weight.

L30.4

Erythema intertrigo

Use for inflammatory rash in the inframammary fold.

M54.6

Pain in thoracic spine

Use for back pain exacerbated by breast weight.

Frequently Asked Questions

What is the ICD-10 code for macromastia?

The ICD-10 code for macromastia is N62, which covers hypertrophy of the breast.

How is macromastia documented for insurance?

Document macromastia with breast size, symptoms linked to size, and failed conservative treatments to meet insurance criteria.

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