2025 ICD-10-CM code N64
(Active) Effective Date: N/A Diseases of the genitourinary system - Disorders of breast (N60-N65) Diseases of the genitourinary system (N00-N99) Feed
Other disorders of breast.
Medical necessity for this code depends on the specific disorder. The documentation must clearly establish the presence of a breast-related condition that requires medical attention and is not better classified under a more specific code.
In simple words: This code represents other disorders related to the breast that are not classified elsewhere.It excludes mechanical complications related to breast implants.
Other disorders of breast, excluding mechanical complications of breast prosthesis and implant (T85.4-).
Example 1: A patient presents with nipple discharge not associated with childbirth or breastfeeding. After diagnostic tests rule out other conditions, the diagnosis is other disorders of breast., A patient experiences persistent breast pain (mastodynia) unrelated to their menstrual cycle or any other identifiable cause.After examination and investigations, it's determined to be an other disorder of the breast., A male patient presents with enlarged breast tissue. After ruling out hormonal imbalances or medications as the cause, the physician diagnoses the condition as other disorders of the breast.
Documentation should include details about the patient's symptoms, physical examination findings, relevant diagnostic test results (e.g., mammogram, ultrasound, biopsy), and any other information supporting the diagnosis of other disorders of breast.
** Excludes2: mechanical complication of breast prosthesis and implant (T85.4-)