N64.59

N64.59: Other signs and symptoms in breast

Billable / specific codeICD-10-CM

N64.59 is a billable, specific ICD-10-CM code for other signs and symptoms in breast. It is valid for submission on a claim.

Check N64.59 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above N64.59

Not part of this code, but both may be coded when both are present.

Written on N64.5: Other signs and symptoms in breast

abnormal findings on diagnostic imaging of breast (R92.-)

Written on N64: Other disorders of breast

mechanical complication of breast prosthesis and implant (T85.4-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N64.59 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

Bleeding›nipple
Congestion, congestive›breast
Engorgement›breast
Hemorrhage, hemorrhagic›breast
Hemorrhage, hemorrhagic›nipple
Inversion›nipple
Symptoms NEC›breast NEC
Thickening›breast

Code history

Unchanged in every release from FY2024 to FY2027.