Is N64.8 a billable ICD-10-CM code?

No. N64.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does N64.8 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).

N64.8

N64.8 — Other specified disorders of breast

Non-billable headerICD-10-CM

N64.8 is a non-billable header ICD-10-CM code for other specified disorders of breast. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

N64.8 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead N64.8

3 child codes. Green means billable.

N64.81Ptosis of breast
N64.82Hypoplasia of breast
N64.89Other specified disorders of breast

Related codes at this level

Codes that share N64. If N64.8 is not quite right, the correct code is usually one of these.

N64.0Fissure and fistula of nipple
N64.1Fat necrosis of breast
N64.2Atrophy of breast
N64.3Galactorrhea not associated with childbirth
N64.4Mastodynia
N64.5Other signs and symptoms in breast
N64.9Disorder of breast, unspecified

Questions about N64.8

Is N64.8 a billable ICD-10-CM code?: No. N64.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N64.8 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Disorders of breast (N60-N65).