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Home/Diagnosis/ICD-10 Coding for Mastalgia

ICD-10 Coding for Mastalgia

N64.4

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

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

Essential facts and insights about ICD-10 Coding for Mastalgia

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 pain without underlying malignancy
documentation:
  • • Detailed documentation of pain pattern and relation to menstrual cycle

Applicable To

  • • Breast pain
  • • Mastalgia

Important Notes

  • • Ensure documentation includes pain pattern, severity, and any imaging findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Use if the encounter is explicitly for pain management.

G89.29

Chronic pain

Use if the encounter is explicitly for chronic pain management.

Frequently Asked Questions

What is the ICD-10 code for mastalgia?

The ICD-10 code for mastalgia is N64.4, used for documenting breast pain without underlying malignancy.

How should mastalgia be documented?

Document mastalgia by specifying the pain pattern, severity, and any relation to the menstrual cycle. Include imaging results if applicable.

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