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N64.4

Billable

Mastodynia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Breast pain or tenderness, which can occur in one or both breasts and may be related to hormonal changes, injury, or other conditions.

Coding Tips

  • •Specify laterality (right, left, or bilateral) if documented in the medical record
  • •Distinguish from pain related to mastitis or other inflammatory conditions which have separate codes

Code Hierarchy

└N64Other disorders of breast└N64.4Mastodynia
└N64.4Mastodynia

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