icd10free.comPowered by Curo

ICD-10 Coding for Macromastia(N62, L30.4, M54.6)

Save

Learn about ICD-10 coding for macromastia, including documentation requirements, code relationships, and billing considerations.

Also known as:
Breast HypertrophyGigantomastia
Related ICD-10 Code Ranges

Complete code families applicable to Macromastia

N00-N99Primary Range

Diseases of the genitourinary system

→
Primary ICD-10-CM Codes
Hypertrophy of breast
N62Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Other congenital malformations of breastQ83.8

Use for congenital asymmetry without acquired hypertrophy.

Documentation & Coding Risks

Avoid these common issues when documenting Macromastia.

Vague symptom documentation

Impact

Clinical: Inadequate symptom management, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials

Mitigation

Use specific symptom descriptions, Link symptoms to breast size

Using non-specific pain codes

Impact

Reimbursement: May lead to denied claims if specificity is lacking., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Reduces the accuracy of clinical data.

Mitigation

Use specific musculoskeletal codes like M54.6 for back pain.

Inadequate documentation

Impact

Failure to document specific symptoms and treatments.

Mitigation

Implement structured templates for documentation.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with N62.