Valid for Submission
N64.81 is a billable diagnosis code used to specify a medical diagnosis of ptosis of breast. The code N64.81 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N64.81 might also be used to specify conditions or terms like bilateral ptotic breasts or ptotic breast.
The code N64.81 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
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.
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 N64.81:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- ptosis of native breast in relation to reconstructed breast N65.1
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 N64.81 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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Bilateral ptotic breasts
- Ptotic breast
Diagnostic Related Groups - MS-DRG Mapping
Convert N64.81 to ICD-9 Code
Information for Patients
Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).
If you have a breast lump, pain, discharge or skin irritation, see your health care provider. Minor and serious breast problems have similar symptoms. Although many women fear cancer, most breast problems are not cancer.
Some common breast changes are
- Fibrocystic breast changes - lumpiness, thickening and swelling, often just before a woman's period
- Cysts - fluid-filled lumps
- Fibroadenomas - solid, round, rubbery lumps that move easily when pushed, occurring most in younger women
- Intraductal papillomas - growths similar to warts near the nipple
- Blocked milk ducts
- Milk production when a woman is not breastfeeding
NIH: National Cancer Institute
- Breast - premenstrual tenderness and swelling (Medical Encyclopedia)
- Breast biopsy -- stereotactic (Medical Encyclopedia)
- Breast biopsy -- ultrasound (Medical Encyclopedia)
- Breast infection (Medical Encyclopedia)
- Breast lump (Medical Encyclopedia)
- Breast MRI scan (Medical Encyclopedia)
- Breast pain (Medical Encyclopedia)
- Breast self exam (Medical Encyclopedia)
- Breast skin and nipple changes (Medical Encyclopedia)
- Fibroadenoma - breast (Medical Encyclopedia)
- Fibrocystic breast disease (Medical Encyclopedia)
- Gynecomastia (Medical Encyclopedia)
- Intraductal papilloma (Medical Encyclopedia)
- Nipple problems (Medical Encyclopedia)