Valid for Submission
N64.1 is a billable code used to specify a medical diagnosis of fat necrosis of breast. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N64.1 might also be used to specify conditions or terms like fat necrosis of breast.
The code N64.1 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as lump in breast and other disorders of the breast.
|Short Description:||Fat necrosis of breast|
|Long Description:||Fat necrosis of breast|
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N64.1:
Inclusion Terms Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Fat necrosis (segmental) of breast
Code First Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- breast necrosis due to breast graft T85.898
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N64.1 are found in the index:
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
Diagnostic Related Groups
The ICD-10 code N64.1 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2020.
- 597 - MALIGNANT BREAST DISORDERS WITH MCC
- 598 - MALIGNANT BREAST DISORDERS WITH CC
- 599 - MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
- 600 - NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
- 601 - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
Convert N64.1 to ICD-9
- 611.3 - Fat necrosis of breast
Diseases of the genitourinary system (N00–N99)
Disorders of breast (N60-N65)
Other disorders of breast (N64)
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set)
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020