N65.1
N65.1: Disproportion of reconstructed breast
Billable / specific codeICD-10-CM
N65.1 is a billable, specific ICD-10-CM code for disproportion of reconstructed breast. It is valid for submission on a claim.
Check N65.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Breast asymmetry between native breast and reconstructed breast
- Disproportion between native breast and reconstructed breast
Other codes that can never be billed with N65.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N65.1 is named in 9 Medicare coverage policies: 9 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
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
Alphabetic index entries that lead here
- Asymmetry›between native and reconstructed breast
- Disproportion›between native and reconstructed breast
- Complication›reconstructed breast›asymmetry between native and reconstructed breast
- Complication›reconstructed breast›disproportion between native and reconstructed breast
Code history
Unchanged in every release from FY2024 to FY2027.