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N65.1

Billable

Disproportion of reconstructed breast

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

What This Code Means

A condition where a surgically reconstructed breast has uneven size, shape, or appearance compared to the other breast or the desired result.

Coding Tips

  • •This code is used for post-surgical complications of breast reconstruction, not for natural breast asymmetry
  • •Specify which breast is affected if documentation indicates laterality

Code Hierarchy

└N65Deformity and disproportion of reconstructed breast└N65.1Disproportion of reconstructed breast
└N65.1Disproportion of reconstructed breast

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