2021 ICD-10-CM Code N64.9
Disorder of breast, unspecified
Valid for Submission
N64.9 is a billable diagnosis code used to specify a medical diagnosis of disorder of breast, unspecified. The code N64.9 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 N64.9 might also be used to specify conditions or terms like abnormal nipple, breast problem, chronic disease of breast, disorder of breast, disorder of nipple , lesion of breast, etc.
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.
Unspecified diagnosis codes like N64.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
| ICD-10: | N64.9 |
| Short Description: | Disorder of breast, unspecified |
| Long Description: | Disorder of breast, unspecified |
Code Classification
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 N64.9 are found in the index:
- - Disease, diseased - See Also: Syndrome;
- - Disorder (of) - See Also: Disease;
- - breast - N64.9
- - Mastopathy, mastopathia - N64.9
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal nipple
- Breast problem
- Chronic disease of breast
- Disorder of breast
- Disorder of nipple
- Lesion of breast
- Nipple problem
- Problem of chest
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code N64.9 is grouped in the following groups for version MS-DRG V38.0 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 09/30/2021.
Convert N64.9 to ICD-9 Code
- 611.9 - Breast disorder NOS
Information for Patients
Breast Diseases
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)
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Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)