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N64.81

Billable

Ptosis of breast

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

What This Code Means

Sagging or drooping of the breast tissue due to loss of elasticity, aging, or gravity.

Coding Tips

  • •This is a structural/cosmetic condition; ensure it is not being coded as a complication of surgery
  • •Specify laterality (right, left, or bilateral) when documented

Excludes 1 — Do NOT code together

  • ptosis of native breast in relation to reconstructed breast (N65.1)

Code Hierarchy

└N64Other disorders of breast└N64.8Other specified disorders of breast└N64.81Ptosis of breast
└N64.81Ptosis of breast

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