ICD-10 Diagnosis | |
---|---|
N62 | Hypertrophy of breast (gynecomastia) |
Q98.0-Q98.4 | Klinefelter's syndrome |
Z79.51-Z79.52 | Long-term (current) use of steroids |
Z79.818 | Long term (current) use of other agents affecting estrogen receptors and estrogen levels |
Standardly ordered blood tests would include:
To determine the exact cause of gynecomastia, other tests are also recommended which involves:
CPT0J063ZZAlteration of chest subcutaneous tissue and fascia, percutaneous approach0JD63ZZExtraction of chest subcutaneous tissue and fascia, percutaneous approachICD-10 DiagnosisN62Hypertrophy of breast (gynecomastia)4 more rows
N62: Hypertrophy of breast.
Gynecomastia is often due to an imbalance of testosterone and estrogen hormones. Certain medications and diseases can also cause male breast tissue to swell and get bigger. Enlarged breasts in boys and men often improve without treatment.
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.
ICD-10 code: N64. 4 Mastodynia | gesund.bund.de.
It recommends CPT code 19318 for reduction mammaplasty when breast tissue is removed for breast-size reduction and not for treatment or prevention of breast cancer.
9) identified four grades of gynecomastia:Grade I: Small enlargement without skin excess.Grade IIa: Moderate enlargement without skin excess.Grade IIb: Moderate enlargement with minor skin excess.Grade III: Marked enlargement with excess skin, mimicking female breast ptosis (Figure 4). Figure 4.
Most cases of gynecomastia resolve over time without treatment. However, if gynecomastia is caused by an underlying condition — such as hypogonadism, malnutrition or cirrhosis — that underlying condition may need treatment.
The drugs definitely associated with the onset of gynecomastia are spironolactone, cimetidine, ketoconazole, hGH, estrogens, hCG, anti-androgens, GnRH analogs and 5-α reductase inhibitors.
Gynecomastia Symptoms Your first sign of gynecomastia may be a lump of fatty tissue under the nipple. Sometimes this lump is tender or sore. This might make you worry that you have breast cancer, which does occur in a small number of men.
Fat accumulated chest also looks like breasts but is soft and also saggy due to extra skin. Male breasts caused due to gynecomastia are firmer and look more like a woman's breasts. Another way to feel your chest and look for a hard lump in the chest area.
At least one in every four male patients can develop excessive glandular breast tissue, leading to an ongoing condition unless treated. For adult men plagued by this condition, approximately 35% – 45% of cases are unilateral gynecomastia.
Can gynecomastia go away with exercise? Unfortunately, not really. Although patients will find plenty of health benefits from lifestyle changes like working out or eating well, a change in gynecomastia symptoms won't be one of them.
Puberty is the main cause of gynecomastia in adolescent boys. Hormones are chemical messengers. The ones involved in puberty can get out of balance and lead to gynecomastia.
Puberty — Gynecomastia that occurs during puberty usually resolves without treatment within six months to two years. The condition sometimes develops between ages 10 and 12 years and most commonly occurs between ages 13 and 14 years. The condition persists beyond age 17 years in up to 20 percent of individuals.
Chest fat is typically soft to the touch, while gynecomastia is much firmer. Some patients describe gynecomastia as feeling hard or rubbery. In fact, you may even feel a solid lump underneath your skin, which does not typically occur with chest fat.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
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..
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.
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.
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.
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.
In most cases breast enlargement and/or benign gynecomastia spontaneously resolves by age 18 making treatment unnecessary. Gynecomastia during puberty is not uncommon and in 90% of cases regresses within 3 years of onset.
I. Mastectomy or suction lipectomy for treatment of benign gynecomastia for a male patient under age 18 is considered reconstructive and medically necessary when all the following criteria are met:
Breast diseases can be classified either with disorders of the integument, or disorders of the reproductive system. A majority of breast diseases are noncancerous.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code N62. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 611.1 was previously used, N62 is the appropriate modern ICD10 code.