icd 10 code for gynecomastia

What is the diagnosis code for gynecomastia?

ICD-10-CM Code for Hypertrophy of breast N62.

What is the ICD-10 code for male gynecomastia?

ICD-10 DiagnosisICD-10 DiagnosisN62Hypertrophy of breast (gynecomastia)Q98.0-Q98.4Klinefelter's syndromeZ79.51-Z79.52Long-term (current) use of steroidsZ79.818Long term (current) use of other agents affecting estrogen receptors and estrogen levels3 more rows

What is diagnosis code N62?

Valid for SubmissionICD-10:N62Short Description:Hypertrophy of breastLong Description:Hypertrophy of breast

What is the ICD-10 code for breast mass?

N63. 0 - Unspecified lump in unspecified breast. ICD-10-CM.

What is bilateral gynecomastia?

Gynecomastia is a benign enlargement of the male breast (usually bilateral but sometimes unilateral) resulting from a proliferation of the glandular component of the breast (see the image below). It is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples.Feb 14, 2022

What is the most common cause of gynecomastia?

Gynecomastia is a common condition which results in enlarged male breast tissue. It can be seen in males of all ages, but usually occurs during the newborn period, puberty and older adulthood. There are many causes for gynecomastia, most commonly an imbalance of the hormones testosterone and estrogen.Sep 8, 2021

What is diagnosis code N64 4?

ICD-10 code N64. 4 for Mastodynia is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

What is the ICD-10 code for Mastodynia?

ICD-10 code: N64. 4 Mastodynia - gesund.bund.de.

What is hypertrophy of breast?

Breast hypertrophy, which really just means overgrowth of breast tissue, is a condition in which breasts grow so heavy that they cause problems. Common complaints with this condition are neck or back pain, rashes developing in the skin folds under the breasts and embarrassment about the shape and size of the breast.

What is code R92 8?

2022 ICD-10-CM Diagnosis Code R92. 8: Other abnormal and inconclusive findings on diagnostic imaging of breast.

What is the ICD-10 code for Mass in left breast?

Unspecified lump in the left breast, overlapping quadrants N63. 25 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What N63 10?

2022 ICD-10-CM Diagnosis Code N63. 10: Unspecified lump in the right breast, unspecified quadrant.

What is a gynecomastia?

A disorder characterized by excessive development of the breasts in males. Enlargement of the breast in the males, caused by an excess of estrogens. Physiological gynecomastia is normally observed in newborns; adolescent; and aging males.

What is a type 1 exclude note?

A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. A disorder characterized by excessive development of the breasts in males. Enlargement of the breast in the males, caused by an excess of estrogens.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38914, Cosmetic and Reconstructive Surgery. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted. The following ICD-10-CM code supports medical necessity and provides coverage for (CPT) code: 15781 for Dermabrasion.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is the N62 code?

N62 is a billable diagnosis code used to specify a medical diagnosis of hypertrophy of breast. The code N62 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

What are the lumps on the breasts that move easily when pushed?

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.

What is a type 1 exclude note?

Type 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.

What is the 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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N62:

When to use excludes1?

An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. breast engorgement of newborn P83.4. disproportion of reconstructed breast N65.1.

How long does it take for pubertal gynecomastia to resolve?

Resolution of idiopathic gynecomastia may take several months to years. In a majority of boys with pubertal gynecomastia, the condition resolves within 18 months. Medical reduction has been achieved with agents such as dihydrotestosterone, danazol, and clomiphene.

What age is required to have a mammogram?

Medically supervised weight loss program. Orthopedic or spine surgeon evaluation of spinal pain; and. Women 50 years of age or older are required to have a mammogram that was negative for cancer performed within the two years prior to the date of the planned reduction mammoplasty; and.

What is photodynamic therapy?

Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa (eg, lip) by activation of photosensitive drug (s), each phototherapy exposure session

What is the goal of breast reduction surgery?

The goal of medically necessary breast reduction surgery is to relieve symptoms of pain and disability. If an insufficient amount of breast tissue is removed, the surgery is less likely to be successful in relieving pain and any related symptoms from excessive breast weight (e.g., excoriations, rash).

Is reduction mammoplasty considered cosmetic?

Reduction mammoplasty performed solely for cosmetic indications is considered by insurers to be not medically necessary treatment of disease and subject to the standard cosmetic surgery plan exclusion. Reduction mammoplasty has also been used for relief of pain in the back, neck and shoulders.

How long should breast size be stable?

Sabiston’s Textbook of Surgery (Burns & Blackwell, 2008) states that breast size should be stable for one year: “There is no set lower age limit but, for the adolescent with breast hypertrophy, reduction is deferred until the breasts have stopped growing and are stable in size for at least 12 months before surgery.”.

Is gynecomastia surgery a cosmetic procedure?

Aetna considers breast reduction, surgical mastectomy or liposuction for gynecomastia, either unilateral or bilateral, a cosmetic surgical procedure. Medical therapy should be aimed at correcting any reversible causes (e.g., drug discontinuance).